TY - JOUR
T1 - Characteristics and Clinical Analysis of Dysphagia Caused by Pontine Infarction
T2 - A Video Fluoroscopic Swallowing Study
AU - Gao, Yuemin
AU - Hao, Pengna
AU - Yang, Nuan
AU - Xiang, Zhengmao
AU - Li, Zhengfan
AU - Li, Linxi
AU - Cheng, Xiaona
AU - Tao, Dan
AU - Lang, Xiaoguang
AU - Liang, Zhijuan
AU - Hu, Fang
AU - Lv, Xuehai
N1 - The study is funded by Health Commission of Hebei Province (No. 20220549).
Publisher Copyright:
© 2025 The Author(s). Brain and Behavior published by Wiley Periodicals LLC.
PY - 2025/10
Y1 - 2025/10
N2 - Objective: To investigate the characteristics of a video fluoroscopic swallowing study (VFSS) in patients with dysphagia caused by different parts of pontine infarction and to analyze the relationship between the severity of dysphagia and the parts of pontine infarction. Methods: This study included 60 patients diagnosed with acute pontine infarction in the Department of Neurology and Rehabilitation Medicine of Handan Central Hospital from August 2022 to August 2023. Pontine infarction was divided into an upper pontine infarction group, middle pontine infarction group, and lower pontine infarction group according to the distribution characteristics of diffusion-weighted imaging (DWI). The VFSS evaluation results of patients with dysphagia brought on by infarction in different areas of the pons were calculated and analyzed to summarize the characteristics of dysphagia. The odified barium swallow impairment profile (MBSImP) was used to assess the severity of swallowing impairment in patients with pontine infarction at different locations. Results: Compared with the upper and middle pontine infarction groups, the lower pontine infarction group was more prone to oropharyngeal swallowing disorder, and the incidence of lip closure, tongue control during bolus hold, oral residue, initiation of the pharyngeal swallow, laryngeal elevation, and tongue base retraction showed statistically significant differences among the three patient groups (p < 0.05). Compared with the suprapontine and middle infarct groups, the lower pontine infarct group had a higher MBSImP score in the oral and pharyngeal stages of swallowing disorders and a heavier degree of lip closure, tongue control during bolus hold, oral residue, initiation of the pharyngeal swallow, laryngeal elevation, and tongue base retraction, with statistical significance (p < 0.05). Conclusion: Patients with subpontine infarction with dysphagia had relatively independent biological characteristics.
AB - Objective: To investigate the characteristics of a video fluoroscopic swallowing study (VFSS) in patients with dysphagia caused by different parts of pontine infarction and to analyze the relationship between the severity of dysphagia and the parts of pontine infarction. Methods: This study included 60 patients diagnosed with acute pontine infarction in the Department of Neurology and Rehabilitation Medicine of Handan Central Hospital from August 2022 to August 2023. Pontine infarction was divided into an upper pontine infarction group, middle pontine infarction group, and lower pontine infarction group according to the distribution characteristics of diffusion-weighted imaging (DWI). The VFSS evaluation results of patients with dysphagia brought on by infarction in different areas of the pons were calculated and analyzed to summarize the characteristics of dysphagia. The odified barium swallow impairment profile (MBSImP) was used to assess the severity of swallowing impairment in patients with pontine infarction at different locations. Results: Compared with the upper and middle pontine infarction groups, the lower pontine infarction group was more prone to oropharyngeal swallowing disorder, and the incidence of lip closure, tongue control during bolus hold, oral residue, initiation of the pharyngeal swallow, laryngeal elevation, and tongue base retraction showed statistically significant differences among the three patient groups (p < 0.05). Compared with the suprapontine and middle infarct groups, the lower pontine infarct group had a higher MBSImP score in the oral and pharyngeal stages of swallowing disorders and a heavier degree of lip closure, tongue control during bolus hold, oral residue, initiation of the pharyngeal swallow, laryngeal elevation, and tongue base retraction, with statistical significance (p < 0.05). Conclusion: Patients with subpontine infarction with dysphagia had relatively independent biological characteristics.
KW - dysphagia
KW - swallowing angiography
UR - https://www.scopus.com/pages/publications/105019377928
U2 - 10.1002/brb3.70957
DO - 10.1002/brb3.70957
M3 - Journal article
C2 - 41116634
AN - SCOPUS:105019377928
SN - 2157-9032
VL - 15
JO - Brain and Behavior
JF - Brain and Behavior
IS - 10
M1 - e70957
ER -