Voorbeelden van dysphagia

• Hysterical deafness, blindness, and dysphagia are manifestations of great rarity in childhood. 

• Drugs may also cause dysphagia by a direct effect on muscle f unction that disrupts peristalsis.

• Damaged corticobulbar fibres may denervate lower cranial nerve nuclei and lead to pseudobulbar palsy, resulting in dysarthria and dysphagia.

• If dysphagia is present, the history aims to establish (among other issues of onset, severity and complications) if it is oropharyngeal or oesophageal.

• Given that dysphagia is transient in many patients it is reasonable to assess, hydrate and monitor for a period of 24-48 hours.

• Relatively common pyramidal signs, decreased vibration sense, dysphagia, ophthalmoplegia, sphincter dysregulation, and hearing impairment.

• Evidence that the patient experiences recurrent bouts of pneumonia is an important clue to aspiration that may be silent, as a result of dysphagia.

• The cause of dysphagia is oesophageal compression by the food-fluid filled diverticulum.

• The first feature is usually ptosis, followed after a few years by dysphagia, but the order may be reversed.

• This lack of consistency of symptoms confuses both patient and doctor and psychosomatic issues are attributed or sought to explain the dysphagia.

• Treatment for aspiration related to dysphagia: an overview.

• Localization of where food 'sticks' is not a useful feature to distinguish oropharyngeal from oesophageal dysphagia.

• Prevalence of subjective dysphagia in community residents aged over 87.

• It should not however be used as a first-line investigation for dysphagia.

• In myasthenia gravis, dysphagia may be a presenting problem.

• In older patients, however, prolonged dysphagia is nearly always secondary either to oropharyngeal / oesophageal malignancy or to cerebrovascular disease, most commonly strokes and dementia.