Treatment for upper esophageal sphincter dysfunction in a patient with poststroke dysphagia: A case report.

ABSTRACT:

Rationale

Botulinum toxin injection is a widely used procedure for the treatment of the dysfunction of the upper esophageal sphincter (UES). Although the injection can be guided by ultrasound, electromyography, or computed tomography, such techniques cannot determine the exact extent of narrowed UES and ensure that the narrowed extent is fully covered by the treatment. This report describes a dual guiding technique with ultrasound and the balloon catheter in a patient with poststroke dysphagia to improve these weaknesses.

Patient concerns

The patient was admitted to a rehabilitation hospital 2 weeks postcerebral infarction.

Diagnoses

Clinical presentation of the patient included severe hemiplegia and dysphagia. The fiberoptic endoscopic evaluation of swallowing (FEES)

SUBMITTER: Wei P 

PROVIDER: S-EPMC6455981 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature