Dysphagia in Parkinsonʼs Disease

  • Kikuchi Akio
    Department of Occupational Therapy, Yamagata Prefectural University of Health Sciences.

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Other Title
  • パーキンソン病の嚥下障害

Abstract

<p>  Parkinson's disease (PD) is a neurodegenerative disease that occurs predominantly in the elderly, and the number of patients with PD is exploding with the aging population. One important factor that interferes with the quality of life of patients with PD is dysphagia. Dysphagia in PD is highly prevalent and does not necessarily correlate with severity of the disease. Dysphagia causes weight loss, aspiration pneumonia, and drooling. Dysphagia in PD can occur in all swallowing stages (anticipatory, preparatory, oral, pharyngeal, and esophageal) due to various lesion sites outside of the basal ganglia circuit and medullary swallowing centers. Because patients with PD are often unaware of their dysphagia and have subclinical aspiration, PD patients without dysphagia should be interviewed, and if dysphagia is suspected, aggressive evaluation of dysphagia should be done by videofluorography or videoendoscopy. It is important to estimate the site of the lesion based on the pattern of dysphagia and determine a treatment plan.</p>

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