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Case Reports in Neurological Medicine
Volume 2014 (2014), Article ID 404871, 4 pages
http://dx.doi.org/10.1155/2014/404871
Case Report

Recovery of Dysphagia in Lateral Medullary Stroke

Max Healthcare, Saket, New Delhi 110017, India

Received 21 January 2014; Revised 19 April 2014; Accepted 26 May 2014; Published 17 June 2014

Academic Editor: Massimiliano Filosto

Copyright © 2014 Hitesh Gupta and Alakananda Banerjee. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lateral medullary stroke is typically associated with increased likelihood of occurrence of dysphagia and exhibits the most severe and persistent form. Worldwide little research exists on dysphagia in brainstem stroke. An estimated 15% of all patients admitted to stroke rehabilitation units experience a brainstem stroke out of which about 47% suffer from dysphagia. In India, a study showed that 22.3% of posterior circulation stroke patients develop dysphagia. Dearth of literature on dysphagia and its outcome in brainstem stroke particularly lateral medullary stroke motivated the author to present an actual case study of a patient who had dysphagia following a lateral medullary infarct. This paper documents the severity and management approach of dysphagia in brainstem stroke, with traditional dysphagia therapy and VitalStim therapy. Despite being diagnosed with a severe form of dysphagia followed by late treatment intervention, the patient had complete recovery of the swallowing function.