jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Management of dysphagia in the patients with spinocerebellar degeneration
Hiroyuki ITOHTatsuji YAMAGUCHIHirohiko HESAKA
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1990 Volume 36 Issue 1 Pages 105-108

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Abstract
This report dealt with dysphagia in the patients with spinocerebellar degeneration (abbreviation, SCD). Three cases of olivo-pont-cerebellar atrophy, which are one of the type of SCD, with dysphagia were reported. The first case was a sixty-nine-year-old man with an accident of bread hypopharynx foreign body. The second case was a fifty-five-year-old man with bilateral vocal cord paralysis. He was tracheostomized and cricopharyngeal myotomy and infrahyoid myotomy were performed at the same time, because dysphasia was supposed to be deteriorated. The third case was a thirty-eight-year-old woman. After she discharged, she stayed in a facilities for the handicapped. Her general condition got worse due to progress of her dysphagia and spastisity and rigidity by the side effect of anti-parkinson drugs. After her hospitalization, tube feeding improved her general condition. In the patient with SCD management of dysphagia is required to keep their swallowing ability. The management consists of assist of their eating, some device of food and operation to dysphagia.
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