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Related Experiment Videos

Swallowing function in patients with spasmodic torticollis.

J E Riski1, J Horner, B S Nashold

  • 1Department of Surgery, Duke University Medical Center, Durham, NC 27710.

Neurology
|September 1, 1990
PubMed
Summary

Spasmodic torticollis patients often experience swallowing difficulties. Over half showed objective swallowing problems, with delayed reflexes and residue being most common, indicating neurogenic or postural dysphagia.

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Area of Science:

  • Neurology
  • Gastroenterology
  • Otolaryngology

Background:

  • Spasmodic torticollis is a movement disorder affecting neck muscles.
  • Oropharyngeal swallowing is a complex neuromuscular process.
  • Dysphagia can significantly impact quality of life.

Purpose of the Study:

  • To investigate oropharyngeal swallowing function in patients with spasmodic torticollis.
  • To identify the prevalence and types of swallowing abnormalities.
  • To correlate swallowing issues with the underlying pathophysiology of torticollis.

Main Methods:

  • Videofluoroscopic swallowing study (VFSS) was performed on 43 patients.
  • Objective swallowing parameters were assessed.
  • Subjective patient complaints were recorded.

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Main Results:

  • 51.2% of patients (22/43) exhibited objective swallowing abnormalities.
  • 34.9% of patients (15/43) reported subjective swallowing complaints.
  • Delayed swallowing reflex and vallecular residue were the most frequent findings (p < 0.0046).

Conclusions:

  • A significant proportion of spasmodic torticollis patients suffer from oropharyngeal dysphagia.
  • Swallowing abnormalities are often linked to neurogenic, postural, or mixed etiologies.
  • VFSS is crucial for diagnosing dysphagia in this population.