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Chapter 7 - Neurogenic Dysphagia

Published online by Cambridge University Press:  26 May 2025

By
Rainer Dziewas  and
Tobias Warnecke
Edited by
Martin Groß ,
Eelco F. M. Wijdicks ,
Maxwell S. Damian  and
Oliver Summ
Martin Groß
Affiliation:
MEDIAN Clinic Bad Tennstedt
Eelco F. M. Wijdicks
Affiliation:
Mayo Clinic
Maxwell S. Damian
Affiliation:
Basildon University Hospitals
Oliver Summ
Affiliation:
Evangelisches Krankenhaus Oldenburg
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Summary

Dysphagia is a frequent symptom that has an impact on prognosis of the critically ill patient. Studies in unselected ICU patient populations revealed the presence of dyphagia in more than 50% of the patiente, and in patients on neurological ICUs dysphagia is thought to be present in even more than 90% of the patients. Dysphagia in critically ill patients is a significant predictor of complications, especially aspiration pneumonia, reintubation and mortality. Still, the access to adequate diagnostic and therapeutic procedures is often limited. This chapter offers a comprehensive overview of the pathophysiology and the diagnostic and therapeutic approach in neurogenic dysphagia.

Keywords

dysphagiaaspirationrespirationintensive carepneumoniascoreneurobreathing

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Chapter
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Clinical Neurorespiratory Medicine , pp. 58 - 70
Publisher: Cambridge University Press
Print publication year: 2025

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