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Smell and taste dysfunction following minor stroke: a case report.
Theresa L Green1, Lisa D McGregor, Kathryn M King
1Faculty of Nursing, Department of Clinical Neurosciences, University of Calgary, Calgary, AB. greentl@ucalgary.ca
Canadian Journal of Neuroscience Nursing
|July 25, 2008
Summary
Minor strokes can significantly impair smell and taste, impacting nutrition and quality of life. Early assessment of olfactory and gustatory dysfunction post-stroke is crucial for patient well-being.
Area of Science:
- Neurology
- Sensory Science
Background:
- Olfactory and gustatory functions are vital for nourishment and safety.
- Dysfunction of smell and taste together is infrequently reported post-stroke.
Observation:
- Two patients with minor stroke experienced significant smell and taste loss (hyposmia, anosmia, dysgeusia).
- Symptoms persisted eight months post-stroke, affecting food identification and taste perception.
- Patients compensated by over-salting/sweetening food, impacting comorbid conditions like hypertension and diabetes.
Findings:
- Both patients showed reduced ability to detect subtle odors and identify tastes beyond 'sweet'.
- The dysfunction led to decreased food enjoyment, weight loss, and reduced energy.
- Impact extended to social and family activities, affecting overall well-being.
Implications:
- Smell and taste dysfunction are potentially serious outcomes of even minor strokes.
- Healthcare professionals should assess these sensory deficits before patient discharge.
- Intervention and support are necessary for patients and caregivers experiencing these post-stroke sensory changes.
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