Journal of Movement Disorders

Review Article

Oro-Pharyngeal Dysphagia in Parkinson’s Disease and Related Movement Disorders: Miseon Kwon, Jae-Hong Lee; J Mov Disord. 2019;12(3):152-160. Published online September 30, 2019; DOI: https://doi.org/10.14802/jmd.19048

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Oro-pharyngeal dysphagia is a common symptom in patients with Parkinson’s disease (PD) and related disorders, even in their early stage of diseases. Dysphagia in these patients has been underdiagnosed, probably due to poor the self-awareness of the conditions and the underuse of validated tools and objective instruments for assessment. The early detection and intervention of dysphagia are closely related to improving the quality of life and decreasing the mortality rate in these patients. The purpose of this paper is to give an overview of the characteristics of dysphagia, including the epidemiology, pathophysiology, and clinical symptomatology, in patients with PD compared with other parkinsonian disorders and movement disorders. The management of dysphagia and future research directions related to these disorders are also discussed.

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Original Article

Transfer Dysphagia Due to Focal Dystonia: Priyanka Samal, Vinay Goyal, Govind K Makharia, Chandan J Das, Sankar Prasad Gorthi, Vishnu V Y, Mamta Bhushan Singh, M V Padma Srivastava; J Mov Disord. 2018;11(3):129-132. Published online September 30, 2018; DOI: https://doi.org/10.14802/jmd.17081

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Abstract PDF Supplementary Material

Objective
The inability to propel a bolus of food successfully from the posterior part of the oral cavity to the oropharynx is defined as transfer dysphagia. The present case series describes the varied presentation of transfer dysphagia due to focal dystonia and highlights the importance of early detection by following up on strong suspicions.
Methods
We describe seven cases of transfer dysphagia due to focal dystonia. Transfer dysphagia as a form of focal dystonia may appear as the sole presenting complaint or may present with other forms of focal dystonia.
Results
Four out of seven patients had pure transfer dysphagia and had previously been treated for functional dysphagia. A high index of suspicion, barium swallow including videofluoroscopy, associated dystonia in other parts of the body and response to drug therapy with trihexyphenidyl/tetrabenazine helped to confirm the diagnosis.
Conclusion
Awareness of these clinical presentations among neurologists and non-neurologists can facilitate an early diagnosis and prevent unnecessary investigations.

Citations

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EXCESSIVE CRYING IN CHILDREN WITH CEREBRAL PALSY AND COMMUNICATION DEFICITS
Nagabhushana Rao Potharaju
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Oro-Pharyngeal Dysphagia in Parkinson’s Disease and Related Movement Disorders
Miseon Kwon, Jae-Hong Lee
Journal of Movement Disorders.2019; 12(3): 152. CrossRef

Review Article

Electrophysiological Evaluation of Oropharyngeal Dysphagia in Parkinson’s Disease: Cumhur Ertekin; J Mov Disord. 2014;7(2):31-56. Published online October 30, 2014; DOI: https://doi.org/10.14802/jmd.14008

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266 Download
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Abstract PDF

Parkinson’s disease (PD) is a chronic, neurodegenerative movement disorder that typically affects elderly patients. Swallowing disorders are highly prevalent in PD and can have grave consequences, including pneumonia, malnutrition, dehydration and mortality. Neurogenic dysphagia in PD can manifest with both overt clinical symptoms or silent dysphagia. Regardless, early diagnosis and objective follow- up of dysphagia in PD is crucial for timely and appropriate care for these patients. In this review, we provide a comprehensive summary of the electrophysiological methods that can be used to objectively evaluate dysphagia in PD. We discuss the electrophysiological abnormalities that can be observed in PD, their clinical correlates and the pathophysiology underlying these findings.

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