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Related Experiment Videos

Dysphagia in acute stroke.

C Gordon1, R L Hewer, D T Wade

  • 1Frenchay Hospital, Bristol.

British Medical Journal (Clinical Research Ed.)
|August 15, 1987
PubMed
Summary
This summary is machine-generated.

Acute stroke often causes dysphagia (difficulty swallowing), particularly with unilateral brain lesions. Most patients regain swallowing ability within two weeks, but dysphagia increases risks of complications and mortality.

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Area of Science:

  • Neurology
  • Gastroenterology
  • Clinical Medicine

Background:

  • Dysphagia is a common complication following acute stroke.
  • Understanding its incidence and consequences is crucial for patient management.

Purpose of the Study:

  • To determine the incidence, duration, and outcomes of dysphagia in acute stroke patients.
  • To correlate dysphagia with stroke lesion location and patient prognosis.

Main Methods:

  • Prospective study of 91 consecutive acute stroke patients.
  • Clinical assessment of swallowing function.
  • Brain imaging (CT) or necropsy to confirm lesion sites in 40 cases.

Main Results:

  • 41 patients (45%) presented with dysphagia on admission.

Related Experiment Videos

  • Most dysphagia cases (37/41) were associated with unilateral cerebral hemisphere strokes.
  • 19 of 22 surviving patients with unilateral stroke regained swallowing within 14 days.

    • Conclusions:

    • Dysphagia is frequent after acute stroke, especially with unilateral lesions.
    • While often transient, stroke-related dysphagia is linked to increased chest infections, dehydration, and mortality.
    • Early assessment and management of dysphagia are vital in stroke care.