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The relationship between dysphagia and the localisation of brain lesion in stroke: is the involvement of the pons and medulla important?

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Title: The relationship between dysphagia and the localisation of brain lesion in stroke: is the involvement of the pons and medulla important?
Authors: Konak, Hatice Ecem (AUTHOR), Alemdaroğlu, Ebru (AUTHOR), Altaş, Elif Umay (AUTHOR)
Source: Somatosensory & Motor Research. Mar2024, Vol. 41 Issue 1, p34-41. 8p.
Subjects: Brain damage, Stroke, Deglutition disorders, Basal ganglia, White matter (Nerve tissue), Stroke patients
Abstract: The presence of dysphagia in stroke is associated with mortality and morbidity. The aim of this retrospective study is to present the relationship between dysphagia and the demographic characteristics of the patient, and the type and localisation of brain lesion in the acute period in stroke patients with dysphagia. The data of 284 patients who had stroke-related dysphagia, had a disease duration 1–3 months, had no history of swallowing dysfunction before the event, and had their brain MRI/CT reports in the hospital were included. The rate of tube-dependent oral areas was higher in the lesions located in the pons and the medulla than in the lesions located in the MCA cortex, the basal ganglia, and the cerebellum (p ˂ 0.001, p = 0.032 and p = 0.011, respectively) and the percentage of those fed with NG + TPN + PEG was statistically significantly higher (p = 0.002, p = 0.032 and p = 0.011, respectively). History of pneumonia was found to be statistically significantly higher in the lesions located in the pons and the medulla than in the lesions located in the MCA cortex, ACA cortex, PCA cortex, the basal ganglia, periventricular white matter, the thalamus, the cerebellum, and the midbrain (p ˂ 0.001, p = 0.005, p = 0.023, p ˂ 0.001, p = 0.023, p = 0.001, p = 0.011 and p = 0.023, respectively). In conclusion, although lesion localisation in the acute period in patients with dysphagia varied in terms of clinical swallowing evaluation findings, weight loss, pneumonia history, the rate of tube-dependent intake, were shown to be higher in patients who had lesions in the pons and the medulla, which is a finding that should be considered in the clinical follow-up of acute stroke patients with lesions in the pons and the medulla. [ABSTRACT FROM AUTHOR]
Copyright of Somatosensory & Motor Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
  Group: Ti
  Data: The relationship between dysphagia and the localisation of brain lesion in stroke: is the involvement of the pons and medulla important?
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Konak%2C+Hatice+Ecem%22">Konak, Hatice Ecem</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alemdaroğlu%2C+Ebru%22">Alemdaroğlu, Ebru</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Altaş%2C+Elif+Umay%22">Altaş, Elif Umay</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Somatosensory+%26+Motor+Research%22">Somatosensory & Motor Research</searchLink>. Mar2024, Vol. 41 Issue 1, p34-41. 8p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Brain+damage%22">Brain damage</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Basal+ganglia%22">Basal ganglia</searchLink><br /><searchLink fieldCode="DE" term="%22White+matter+%28Nerve+tissue%29%22">White matter (Nerve tissue)</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The presence of dysphagia in stroke is associated with mortality and morbidity. The aim of this retrospective study is to present the relationship between dysphagia and the demographic characteristics of the patient, and the type and localisation of brain lesion in the acute period in stroke patients with dysphagia. The data of 284 patients who had stroke-related dysphagia, had a disease duration 1–3 months, had no history of swallowing dysfunction before the event, and had their brain MRI/CT reports in the hospital were included. The rate of tube-dependent oral areas was higher in the lesions located in the pons and the medulla than in the lesions located in the MCA cortex, the basal ganglia, and the cerebellum (p ˂ 0.001, p = 0.032 and p = 0.011, respectively) and the percentage of those fed with NG + TPN + PEG was statistically significantly higher (p = 0.002, p = 0.032 and p = 0.011, respectively). History of pneumonia was found to be statistically significantly higher in the lesions located in the pons and the medulla than in the lesions located in the MCA cortex, ACA cortex, PCA cortex, the basal ganglia, periventricular white matter, the thalamus, the cerebellum, and the midbrain (p ˂ 0.001, p = 0.005, p = 0.023, p ˂ 0.001, p = 0.023, p = 0.001, p = 0.011 and p = 0.023, respectively). In conclusion, although lesion localisation in the acute period in patients with dysphagia varied in terms of clinical swallowing evaluation findings, weight loss, pneumonia history, the rate of tube-dependent intake, were shown to be higher in patients who had lesions in the pons and the medulla, which is a finding that should be considered in the clinical follow-up of acute stroke patients with lesions in the pons and the medulla. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Somatosensory & Motor Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/08990220.2023.2165058
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 34
    Subjects:
      – SubjectFull: Brain damage
        Type: general
      – SubjectFull: Stroke
        Type: general
      – SubjectFull: Deglutition disorders
        Type: general
      – SubjectFull: Basal ganglia
        Type: general
      – SubjectFull: White matter (Nerve tissue)
        Type: general
      – SubjectFull: Stroke patients
        Type: general
    Titles:
      – TitleFull: The relationship between dysphagia and the localisation of brain lesion in stroke: is the involvement of the pons and medulla important?
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            NameFull: Konak, Hatice Ecem
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            NameFull: Alemdaroğlu, Ebru
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            – D: 01
              M: 03
              Text: Mar2024
              Type: published
              Y: 2024
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