https://scholars.lib.ntu.edu.tw/handle/123456789/633432
標題: | Case report: Dysphagia after COVID-19 infection in a stroke patient-Is neurostimulation a potential management? | 作者: | Lin, Ting-Yu Shen, Peng-Chieh Lee, Shao-An Yeh, Shu-Ming KE-VIN CHANG TYNG-GUEY WANG |
關鍵字: | COVID-19; brain plasticity; dysphagia; neurostimulation; repetitive transcranial magnetic stimulation | 公開日期: | 2023 | 卷: | 14 | 來源出版物: | Frontiers in neurology | 摘要: | A 90-year-old man with stroke was weaned from tube feeding 4 months after stroke onset. However, he had a coronavirus disease 2019 (COVID-19) infection after 2 months and suffered from drastically worsened oropharyngeal dysphagia that required a reinsertion of the nasogastric tube. A videofluoroscopic swallowing study revealed poor bolus oral transit, significantly delayed swallowing reflex, reduced pharyngeal movements, and insufficient cough response. Repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation were applied, in addition to conventional swallowing training. The feeding tube was removed after 20 treatment sessions. Clinicians should be aware of the risk of dysphagia after COVID-19 infection in patients with underlying neurological diseases. The management of post-COVID-19 dysphagia has not yet been fully established. Repetitive transcranial electrical stimulation combined with neuromuscular electrical stimulation may be used as an auxiliary intervention in specific cases. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/633432 | ISSN: | 1664-2295 | DOI: | 10.3389/fneur.2023.1126390 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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