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Dysphagia in Lewy body dementia - a clinical observational study of swallowing function by videofluoroscopic examination

Londos, Elisabet LU ; Hansson, Oskar LU orcid ; Hirsch, Ingrid Alm ; Janneskog, Anna ; Bülow, Margareta LU and Palmqvist, Sebastian LU orcid (2013) In BMC Neurology 13.
Abstract
Background: Dysphagia, which can result in aspiration pneumonia and death, is a well-known problem in patients with dementia and Parkinson's disease. There are few studies on dysphagia in patients with dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD), especially studies objectively documenting the type of swallowing dysfunction. The aim of this study was therefore to investigate the prevalence, and define the actual swallowing dysfunction according to a videofluoroscopic swallowing examination (VFSE) in patients with DLB and PDD. Methods: Eighty-two consecutive patients with DLB or PDD in a clinical follow-up program were asked about symptoms of dysphagia. Those experiencing dysphagia were examined with VFSE.... (More)
Background: Dysphagia, which can result in aspiration pneumonia and death, is a well-known problem in patients with dementia and Parkinson's disease. There are few studies on dysphagia in patients with dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD), especially studies objectively documenting the type of swallowing dysfunction. The aim of this study was therefore to investigate the prevalence, and define the actual swallowing dysfunction according to a videofluoroscopic swallowing examination (VFSE) in patients with DLB and PDD. Methods: Eighty-two consecutive patients with DLB or PDD in a clinical follow-up program were asked about symptoms of dysphagia. Those experiencing dysphagia were examined with VFSE. Prevalence and type of swallowing dysfunction was recorded. Results: Twenty-six patients (32%) reported symptoms of dysphagia such as swallowing difficulties or coughing. Twenty-four (92%) of these had a documented swallowing dysfunction on VFSE. Eighty-eight percent suffered from pharyngeal dysfunction. Conclusions: Almost all DLB or PDD patients with subjective signs of dysphagia had pathologic results on VFSE, the majority of pharyngeal type. This type of dysphagia has not been reported in DLB before. The results have clinical implications and highlight the importance of asking for and examining swallowing function to prevent complications such as aspiration. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dementia with Lewy bodies, Parkinson's disease dementia, Dysphagia, Videofluoroscopy
in
BMC Neurology
volume
13
article number
140
publisher
BioMed Central (BMC)
external identifiers
  • wos:000329058100001
  • scopus:84890182356
  • pmid:24099488
ISSN
1471-2377
DOI
10.1186/1471-2377-13-140
language
English
LU publication?
yes
id
43d6ae1a-7265-49da-b8ad-2468a3333833 (old id 4261714)
date added to LUP
2016-04-01 13:54:19
date last changed
2022-03-14 02:32:49
@article{43d6ae1a-7265-49da-b8ad-2468a3333833,
  abstract     = {{Background: Dysphagia, which can result in aspiration pneumonia and death, is a well-known problem in patients with dementia and Parkinson's disease. There are few studies on dysphagia in patients with dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD), especially studies objectively documenting the type of swallowing dysfunction. The aim of this study was therefore to investigate the prevalence, and define the actual swallowing dysfunction according to a videofluoroscopic swallowing examination (VFSE) in patients with DLB and PDD. Methods: Eighty-two consecutive patients with DLB or PDD in a clinical follow-up program were asked about symptoms of dysphagia. Those experiencing dysphagia were examined with VFSE. Prevalence and type of swallowing dysfunction was recorded. Results: Twenty-six patients (32%) reported symptoms of dysphagia such as swallowing difficulties or coughing. Twenty-four (92%) of these had a documented swallowing dysfunction on VFSE. Eighty-eight percent suffered from pharyngeal dysfunction. Conclusions: Almost all DLB or PDD patients with subjective signs of dysphagia had pathologic results on VFSE, the majority of pharyngeal type. This type of dysphagia has not been reported in DLB before. The results have clinical implications and highlight the importance of asking for and examining swallowing function to prevent complications such as aspiration.}},
  author       = {{Londos, Elisabet and Hansson, Oskar and Hirsch, Ingrid Alm and Janneskog, Anna and Bülow, Margareta and Palmqvist, Sebastian}},
  issn         = {{1471-2377}},
  keywords     = {{Dementia with Lewy bodies; Parkinson's disease dementia; Dysphagia; Videofluoroscopy}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Neurology}},
  title        = {{Dysphagia in Lewy body dementia - a clinical observational study of swallowing function by videofluoroscopic examination}},
  url          = {{https://lup.lub.lu.se/search/files/3659244/4588205}},
  doi          = {{10.1186/1471-2377-13-140}},
  volume       = {{13}},
  year         = {{2013}},
}