Department of Neurology, Faculty of medicine, Fayoum University,
Oropharyngeal dysphagia is frequently encountered problem in neurological diseases. It occurs in approximately 14% of patients in acute setting and up to 50% of patients with chronic neurological diseases.
Dysphagia increases risk of aspiration pneumonia, malnutrition and dehydration. Subsequently raises morbidity, mortality of the affected patients and deteriorates their quality of life.
Videofluoroscopic swallowing study (VFSS) is the gold standard diagnostic procedure. VFSS not only diagnose disorders, but also evaluate the usefulness of treatment strategies. But VFSS is still not available in many centers, time consuming, necessitate trained personal, entail exposure to radiation and patient transfer to radiology unit.
Moreover rapid diagnosis of the swallowing disorder is mandatory for early identification of dysphagia to decrease risk of aspiration; and recommend management.
Rapid assessment of patients with dysphagia requires simple screening tool to be used before extensive videofluoroscopic and videoendoscopic examination. The diagnostic tool should be reliable, preferably noninvasive, radiation-free, inexpensive, time saving, simple and easy to be done.
Regarding treatment of neurogenic dysphagia, the problem is that only a few pharmacological and therapeutic interventions exist. This expressly underlines the need for swallowing therapy and compensatory techniques to be evaluated and validated and the development of new therapeutic approaches such as electrical pharyngeal or repetitive transcranial magnetic stimulations.
Aim and scope:
This special issue is aimed to look for 1. Prevalence of dysphagia in different neurological disorders 2. Validation of clinical assessment of neurogenic dysphagia 3. Usefulness of surface EMG of muscles involved in swallowing as a screening method for assessment of swallowing 4. Pharyngeal manometry in assessment of neurogenic dysphagia 5. Fiber optic laryngoscopy in assessment and management recommendation of neurogenic dysphagia 6. Videofluoroscopy in assessment and management recommendation of neurogenic dysphagia 7. Effectiveness of pharmacological and therapeutic interventions as swallowing therapy compensatory techniques, electrical pharyngeal or repetitive trans cranial magnetic stimulations in treatment of neurogenic dysphagia