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Association between stroke lesions and videofluoroscopic findings in acute stroke patients
Background and purpose We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke. Methods We enrolle...
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| Published in: | Journal of neurology 2021-03, Vol.268 (3), p.1025-1035 |
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| Main Authors: | , , , , , , , , , , , , , , |
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| container_end_page | 1035 |
| container_issue | 3 |
| container_start_page | 1025 |
| container_title | Journal of neurology |
| container_volume | 268 |
| creator | Nakamori, Masahiro Hosomi, Naohisa Imamura, Eiji Matsushima, Hayato Maetani, Yuta Yoshida, Mitsuyoshi Yoshikawa, Mineka Takeda, Chiho Nagasaki, Toshikazu Masuda, Shin Kayashita, Jun Tsuga, Kazuhiro Tanimoto, Keiji Wakabayashi, Shinichi Maruyama, Hirofumi |
| description | Background and purpose
We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke.
Methods
We enrolled 342 patients with first-time acute stroke (age 70.4 ± 12.6 years, 142 female). Patients with dementia and altered mental status due to severe stroke were excluded. All patients underwent cranial magnetic resonance imaging to identify the location of stroke lesion, VF, and tongue pressure measurement.
Results
Aspiration was detected in 45 (13.2%) patients. Multivariate analysis identified parietal lobe lesion and the National Institutes of Health Stroke Scale (NIHSS) score as independent significant factors for aspiration (odds ratio 6.33, 95% confidence interval [CI] 2.25–17.84,
p
|
| doi_str_mv | 10.1007/s00415-020-10244-4 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2493882688</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2493882688</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-8982cb4df85db3781d7504b3456318268226182532f2a9391dc7620a2f5b36b03</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0EoqXwAyyQJdaG8StxllXFS0JiAxs2VmI7VUprhzgB8fe4pIUdq5E8956RD0LnFK4oQH4dAQSVBBgQCkwIIg7QlArOCBWyOERT4AKI5FJM0EmMKwBQaXGMJpwVeQGFmqLXeYzBNGXfBI8r138653Hsu_Dm8NrF9Bpx6S3-aKwL9XoIXYgmtI3BdeNt45cRNx6XZujdvtYmmPN9PEVHdbmO7mw3Z-jl9uZ5cU8en-4eFvNHYoSgPVGFYqYStlbSVjxX1OYSRMWFzDhVLFOMZWlKzmpWFryg1uQZg5LVsuJZBXyGLkdu24X3wcVer8LQ-XRSM1FwtWWolGJjyqQfxM7Vuu2aTdl9aQp6q1OPOnXSqX90apFKFzv0UG2c_a3s_aUAHwMxrfzSdX-3_8F-A16Lf8Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2493882688</pqid></control><display><type>article</type><title>Association between stroke lesions and videofluoroscopic findings in acute stroke patients</title><source>Springer Link</source><creator>Nakamori, Masahiro ; Hosomi, Naohisa ; Imamura, Eiji ; Matsushima, Hayato ; Maetani, Yuta ; Yoshida, Mitsuyoshi ; Yoshikawa, Mineka ; Takeda, Chiho ; Nagasaki, Toshikazu ; Masuda, Shin ; Kayashita, Jun ; Tsuga, Kazuhiro ; Tanimoto, Keiji ; Wakabayashi, Shinichi ; Maruyama, Hirofumi</creator><creatorcontrib>Nakamori, Masahiro ; Hosomi, Naohisa ; Imamura, Eiji ; Matsushima, Hayato ; Maetani, Yuta ; Yoshida, Mitsuyoshi ; Yoshikawa, Mineka ; Takeda, Chiho ; Nagasaki, Toshikazu ; Masuda, Shin ; Kayashita, Jun ; Tsuga, Kazuhiro ; Tanimoto, Keiji ; Wakabayashi, Shinichi ; Maruyama, Hirofumi</creatorcontrib><description>Background and purpose
We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke.
Methods
We enrolled 342 patients with first-time acute stroke (age 70.4 ± 12.6 years, 142 female). Patients with dementia and altered mental status due to severe stroke were excluded. All patients underwent cranial magnetic resonance imaging to identify the location of stroke lesion, VF, and tongue pressure measurement.
Results
Aspiration was detected in 45 (13.2%) patients. Multivariate analysis identified parietal lobe lesion and the National Institutes of Health Stroke Scale (NIHSS) score as independent significant factors for aspiration (odds ratio 6.33, 95% confidence interval [CI] 2.25–17.84,
p
< 0.001; odds ratio 1.12, 95% CI 1.03–1.20,
p
= 0.004, respectively). Swallowing reflex delay was detected in 58 (17.0%) patients. Multivariate analysis identified habitual drinking, basal ganglia lesion, and the NIHSS score as independent significant factors for swallowing reflex delay (odds ratio 0.51, 95% CI 0.26–0.99,
p
= 0.047; odds ratio 1.91, 95% CI 1.09–3.67,
p
= 0.041; odds ratio 1.12, 95% CI 1.05–1.20,
p
< 0.001, respectively). Additionally, oral cavity and pharyngeal residues were independently associated with tongue pressure.
Conclusion
Parietal lobe lesions are associated with aspiration and basal ganglia lesions with swallowing reflex delay.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-020-10244-4</identifier><identifier>PMID: 32979098</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Basal ganglia ; Dementia disorders ; Lesions ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Neurology ; Neuroradiology ; Neurosciences ; Oral cavity ; Original Communication ; Parietal lobe ; Pharynx ; Stroke ; Swallowing ; Tongue</subject><ispartof>Journal of neurology, 2021-03, Vol.268 (3), p.1025-1035</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-8982cb4df85db3781d7504b3456318268226182532f2a9391dc7620a2f5b36b03</citedby><cites>FETCH-LOGICAL-c441t-8982cb4df85db3781d7504b3456318268226182532f2a9391dc7620a2f5b36b03</cites><orcidid>0000-0001-7486-9700</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32979098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamori, Masahiro</creatorcontrib><creatorcontrib>Hosomi, Naohisa</creatorcontrib><creatorcontrib>Imamura, Eiji</creatorcontrib><creatorcontrib>Matsushima, Hayato</creatorcontrib><creatorcontrib>Maetani, Yuta</creatorcontrib><creatorcontrib>Yoshida, Mitsuyoshi</creatorcontrib><creatorcontrib>Yoshikawa, Mineka</creatorcontrib><creatorcontrib>Takeda, Chiho</creatorcontrib><creatorcontrib>Nagasaki, Toshikazu</creatorcontrib><creatorcontrib>Masuda, Shin</creatorcontrib><creatorcontrib>Kayashita, Jun</creatorcontrib><creatorcontrib>Tsuga, Kazuhiro</creatorcontrib><creatorcontrib>Tanimoto, Keiji</creatorcontrib><creatorcontrib>Wakabayashi, Shinichi</creatorcontrib><creatorcontrib>Maruyama, Hirofumi</creatorcontrib><title>Association between stroke lesions and videofluoroscopic findings in acute stroke patients</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><addtitle>J Neurol</addtitle><description>Background and purpose
We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke.
Methods
We enrolled 342 patients with first-time acute stroke (age 70.4 ± 12.6 years, 142 female). Patients with dementia and altered mental status due to severe stroke were excluded. All patients underwent cranial magnetic resonance imaging to identify the location of stroke lesion, VF, and tongue pressure measurement.
Results
Aspiration was detected in 45 (13.2%) patients. Multivariate analysis identified parietal lobe lesion and the National Institutes of Health Stroke Scale (NIHSS) score as independent significant factors for aspiration (odds ratio 6.33, 95% confidence interval [CI] 2.25–17.84,
p
< 0.001; odds ratio 1.12, 95% CI 1.03–1.20,
p
= 0.004, respectively). Swallowing reflex delay was detected in 58 (17.0%) patients. Multivariate analysis identified habitual drinking, basal ganglia lesion, and the NIHSS score as independent significant factors for swallowing reflex delay (odds ratio 0.51, 95% CI 0.26–0.99,
p
= 0.047; odds ratio 1.91, 95% CI 1.09–3.67,
p
= 0.041; odds ratio 1.12, 95% CI 1.05–1.20,
p
< 0.001, respectively). Additionally, oral cavity and pharyngeal residues were independently associated with tongue pressure.
Conclusion
Parietal lobe lesions are associated with aspiration and basal ganglia lesions with swallowing reflex delay.</description><subject>Basal ganglia</subject><subject>Dementia disorders</subject><subject>Lesions</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Oral cavity</subject><subject>Original Communication</subject><subject>Parietal lobe</subject><subject>Pharynx</subject><subject>Stroke</subject><subject>Swallowing</subject><subject>Tongue</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EoqXwAyyQJdaG8StxllXFS0JiAxs2VmI7VUprhzgB8fe4pIUdq5E8956RD0LnFK4oQH4dAQSVBBgQCkwIIg7QlArOCBWyOERT4AKI5FJM0EmMKwBQaXGMJpwVeQGFmqLXeYzBNGXfBI8r138653Hsu_Dm8NrF9Bpx6S3-aKwL9XoIXYgmtI3BdeNt45cRNx6XZujdvtYmmPN9PEVHdbmO7mw3Z-jl9uZ5cU8en-4eFvNHYoSgPVGFYqYStlbSVjxX1OYSRMWFzDhVLFOMZWlKzmpWFryg1uQZg5LVsuJZBXyGLkdu24X3wcVer8LQ-XRSM1FwtWWolGJjyqQfxM7Vuu2aTdl9aQp6q1OPOnXSqX90apFKFzv0UG2c_a3s_aUAHwMxrfzSdX-3_8F-A16Lf8Y</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Nakamori, Masahiro</creator><creator>Hosomi, Naohisa</creator><creator>Imamura, Eiji</creator><creator>Matsushima, Hayato</creator><creator>Maetani, Yuta</creator><creator>Yoshida, Mitsuyoshi</creator><creator>Yoshikawa, Mineka</creator><creator>Takeda, Chiho</creator><creator>Nagasaki, Toshikazu</creator><creator>Masuda, Shin</creator><creator>Kayashita, Jun</creator><creator>Tsuga, Kazuhiro</creator><creator>Tanimoto, Keiji</creator><creator>Wakabayashi, Shinichi</creator><creator>Maruyama, Hirofumi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0001-7486-9700</orcidid></search><sort><creationdate>20210301</creationdate><title>Association between stroke lesions and videofluoroscopic findings in acute stroke patients</title><author>Nakamori, Masahiro ; Hosomi, Naohisa ; Imamura, Eiji ; Matsushima, Hayato ; Maetani, Yuta ; Yoshida, Mitsuyoshi ; Yoshikawa, Mineka ; Takeda, Chiho ; Nagasaki, Toshikazu ; Masuda, Shin ; Kayashita, Jun ; Tsuga, Kazuhiro ; Tanimoto, Keiji ; Wakabayashi, Shinichi ; Maruyama, Hirofumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-8982cb4df85db3781d7504b3456318268226182532f2a9391dc7620a2f5b36b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Basal ganglia</topic><topic>Dementia disorders</topic><topic>Lesions</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Oral cavity</topic><topic>Original Communication</topic><topic>Parietal lobe</topic><topic>Pharynx</topic><topic>Stroke</topic><topic>Swallowing</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamori, Masahiro</creatorcontrib><creatorcontrib>Hosomi, Naohisa</creatorcontrib><creatorcontrib>Imamura, Eiji</creatorcontrib><creatorcontrib>Matsushima, Hayato</creatorcontrib><creatorcontrib>Maetani, Yuta</creatorcontrib><creatorcontrib>Yoshida, Mitsuyoshi</creatorcontrib><creatorcontrib>Yoshikawa, Mineka</creatorcontrib><creatorcontrib>Takeda, Chiho</creatorcontrib><creatorcontrib>Nagasaki, Toshikazu</creatorcontrib><creatorcontrib>Masuda, Shin</creatorcontrib><creatorcontrib>Kayashita, Jun</creatorcontrib><creatorcontrib>Tsuga, Kazuhiro</creatorcontrib><creatorcontrib>Tanimoto, Keiji</creatorcontrib><creatorcontrib>Wakabayashi, Shinichi</creatorcontrib><creatorcontrib>Maruyama, Hirofumi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamori, Masahiro</au><au>Hosomi, Naohisa</au><au>Imamura, Eiji</au><au>Matsushima, Hayato</au><au>Maetani, Yuta</au><au>Yoshida, Mitsuyoshi</au><au>Yoshikawa, Mineka</au><au>Takeda, Chiho</au><au>Nagasaki, Toshikazu</au><au>Masuda, Shin</au><au>Kayashita, Jun</au><au>Tsuga, Kazuhiro</au><au>Tanimoto, Keiji</au><au>Wakabayashi, Shinichi</au><au>Maruyama, Hirofumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between stroke lesions and videofluoroscopic findings in acute stroke patients</atitle><jtitle>Journal of neurology</jtitle><stitle>J Neurol</stitle><addtitle>J Neurol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>268</volume><issue>3</issue><spage>1025</spage><epage>1035</epage><pages>1025-1035</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><abstract>Background and purpose
We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke.
Methods
We enrolled 342 patients with first-time acute stroke (age 70.4 ± 12.6 years, 142 female). Patients with dementia and altered mental status due to severe stroke were excluded. All patients underwent cranial magnetic resonance imaging to identify the location of stroke lesion, VF, and tongue pressure measurement.
Results
Aspiration was detected in 45 (13.2%) patients. Multivariate analysis identified parietal lobe lesion and the National Institutes of Health Stroke Scale (NIHSS) score as independent significant factors for aspiration (odds ratio 6.33, 95% confidence interval [CI] 2.25–17.84,
p
< 0.001; odds ratio 1.12, 95% CI 1.03–1.20,
p
= 0.004, respectively). Swallowing reflex delay was detected in 58 (17.0%) patients. Multivariate analysis identified habitual drinking, basal ganglia lesion, and the NIHSS score as independent significant factors for swallowing reflex delay (odds ratio 0.51, 95% CI 0.26–0.99,
p
= 0.047; odds ratio 1.91, 95% CI 1.09–3.67,
p
= 0.041; odds ratio 1.12, 95% CI 1.05–1.20,
p
< 0.001, respectively). Additionally, oral cavity and pharyngeal residues were independently associated with tongue pressure.
Conclusion
Parietal lobe lesions are associated with aspiration and basal ganglia lesions with swallowing reflex delay.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32979098</pmid><doi>10.1007/s00415-020-10244-4</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7486-9700</orcidid></addata></record> |
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| language | eng |
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| source | Springer Link |
| subjects | Basal ganglia Dementia disorders Lesions Magnetic resonance imaging Medicine Medicine & Public Health Multivariate analysis Neurology Neuroradiology Neurosciences Oral cavity Original Communication Parietal lobe Pharynx Stroke Swallowing Tongue |
| title | Association between stroke lesions and videofluoroscopic findings in acute stroke patients |
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