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SHR Neuro Krebs Kardio Lipid

Fandler, S; Gattringer, T; Eppinger, S; Doppelhofer, K; Pinter, D; Niederkorn, K; Enzinger, C; Wardlaw, JM; Fazekas, F.
Frequency and Predictors of Dysphagia in Patients With Recent Small Subcortical Infarcts.
Stroke. 2017; 48(1):213-215 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Enzinger Christian
Eppinger Sebastian
Fandler-Höfler Simon
Fazekas Franz
Gattringer Thomas
Niederkorn Kurt
Pinter Daniela Theresia
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Abstract:
Detailed data on the occurrence of swallowing dysfunction in patients with recent small subcortical infarcts (RSSI) in the context of cerebral small vessel disease are lacking. This prompted us to assess the frequency of and risk factors for dysphagia in RSSI patients. We identified all inpatients with magnetic resonance imaging-confirmed RSSI between January 2008 and February 2013. Demographic and clinical data were extracted from our stroke database, and magnetic resonance imaging scans were reviewed for morphological changes. Dysphagia was determined according to the Gugging Swallowing Screen. We identified 332 patients with RSSI (mean age, 67.7±11.9 years; 64.5% male). Overall, 83 patients (25%) had dysphagia, which was mild in 46 (55.4%), moderate in 26 (31.3%), and severe in 11 patients (13.3%). The rate of dysphagia in patients with supratentorial RSSI was 20%. Multivariate analysis identified a higher National Institutes of Health Stroke Scale score (P<0.001), pontine infarction (P<0.01), and more severe white matter hyperintensities (Fazekas grades 2 and 3, P=0.03) as risk factors for swallowing dysfunction. Dysphagia is present in a quarter of patients with RSSI and has to be expected especially in those with higher stroke severity, pontine infarction, and severe white matter hyperintensities. © 2016 American Heart Association, Inc.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Cerebral Infarction - diagnostic imaging
Cerebral Infarction - epidemiology
Cerebral Small Vessel Diseases - diagnostic imaging
Cerebral Small Vessel Diseases - epidemiology
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - epidemiology
Female -
Humans -
Magnetic Resonance Imaging - methods
Male -
Middle Aged -
Predictive Value of Tests -
Retrospective Studies -
Risk Factors -
Single-Blind Method -

Find related publications in this database (Keywords)
cerebral small vessel diseases
deglutition disorders
infarction
magnetic resonance imaging
risk factors
stroke
stroke, lacunar
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