Swallowing Apraxia Post Ischemic Stroke

Abdullah Mohammed Alfaris, Atheer Saeed Alghamdi, Enas Saad Almowalad, Awad Aweid Al Harbi, Khaled Abdulraheem Alghamdi, Jameelah Saeedi and Nisreen Naser Al Awaji ()
Additional contact information
Abdullah Mohammed Alfaris: Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Atheer Saeed Alghamdi: Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Enas Saad Almowalad: Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Awad Aweid Al Harbi: Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Khaled Abdulraheem Alghamdi: Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Jameelah Saeedi: Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia
Nisreen Naser Al Awaji: Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia

IJERPH, 2022, vol. 19, issue 23, 1-6

Abstract: A 55-year-old male patient with a known medical history of diabetes mellitus type 2 and treated lymphoma was first admitted with a sudden left-sided facial asymmetry and mouth deviation to the left side with no other neurological symptoms. A Computerized Tomography (CT) scan of the brain showed acute infarct and small left basal ganglia old lacunar infarction. He was discharged on a dual antiplatelet. One week later, the patient’s condition had worsened and, therefore, was admitted with an impression of ischemic stroke. A bedside swallowing assessment, VFSS, and FEES study were conducted to diagnose this case. The bedside assessment did not reveal any sensory or motor deficits in his oral cavity and the FEES examination was also unable to rule out pharyngeal dysphagia. However, a videofluoroscopic swallowing study (VFSS) revealed a significant dysfunction of oral preparation and oral phases and presented difficulty initiating the pharyngeal phase. Given these features, we believe that this swallowing difficulty is caused by swallowing apraxia. This case provides additional information and understanding on management from the swallowing side.

Keywords: swallowing apraxia; ischemic stroke; VFSS; FEES (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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