Videofluoroscopic evaluation of dysphagia in motor neurone disease with modified barium swallow.

Abstract

The role of videofluoroscopy with the modified barium swallow in the assessment and management of motor neurone disease (MND) is discussed. Nine patients (age range 40-82) with dysphagia secondary to MND were assessed over a four-year period. The examinations were carried out by a multiprofessional team of radiologist, speech and language therapist and dietitian assessing the preoral, oral and pharyngeal phases of swallowing. Preoral feeding abnormalities were present in four out of nine patients, oral phase abnormalities in eight out of nine patients, while 33% of patients demonstrated abnormality in all three phases. Where aspiration occurred (four out of nine cases), no cough reflex was noted. On the basis of these examinations management changes were introduced in all patients. Nonoral feeding was continued or introduced in three patients. Videofluoroscopic examination with the modified barium swallow may be helpful in planning suitable feeding regimes for dysphagia in MND.

• Authors: R Wright, C Jordan
• Journal: Palliative medicine (Palliat Med) Vol. 11 Issue 1 Pg. 44-8 (Jan 1997) ISSN: 0269-2163 [Print] England
• PMID: 9068684 (Publication Type: Journal Article)

Chemical References

• Barium Sulfate

Topics

• Adult
• Aged
• Aged, 80 and over
• Barium Sulfate
• Deglutition Disorders (etiology)
• Female
• Fluoroscopy (methods)
• Humans
• Male
• Middle Aged
• Motor Neuron Disease (complications)
• Video Recording