Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism
Abstract Background Parkinsonism (PD) is a common neurodegenerative disorders into which dysphagia occurs mainly in the late stage and to a lesser extent in an early stage. Diagnosis of dysphagia particularly in early idiopathic Parkinson’s disease (IPD) is important as dysphagia affects the quality...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-10-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
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| Online Access: | http://link.springer.com/article/10.1186/s41983-018-0031-1 |
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| author | Al-Amir Bassiouny Mohamed Gharib Fawi Mohamed Hassan Mohamed Elnady Mohamed Abdelmoneim Sayed Ahmed Mamdouh Imam Megahed Mohamed Hassan Sherihan Rezk Ahmed |
| author_facet | Al-Amir Bassiouny Mohamed Gharib Fawi Mohamed Hassan Mohamed Elnady Mohamed Abdelmoneim Sayed Ahmed Mamdouh Imam Megahed Mohamed Hassan Sherihan Rezk Ahmed |
| author_sort | Al-Amir Bassiouny Mohamed |
| collection | DOAJ |
| description | Abstract Background Parkinsonism (PD) is a common neurodegenerative disorders into which dysphagia occurs mainly in the late stage and to a lesser extent in an early stage. Diagnosis of dysphagia particularly in early idiopathic Parkinson’s disease (IPD) is important as dysphagia affects the quality of life of patients and most of the patients are unaware of this important symptom. Method Fifty-four patients were enrolled in this study presented with early IPD attending to the outpatient clinic of Sohag University Hospital. All PD patients were assessed by using Unified Parkinson’s Disease Rating Scale (UPDRS) and modified Hoehn and Yahr scale. IPD patients were classified into tremor dominant (TD) and postural instability/gait disorder (PIGD) phenotypes. Swallowing disturbance questionnaire (SDQ) and fiberoptic endoscopic evaluation of swallowing (FEES) were used to evaluate dysphagia. Results Thirty-five percent of patients experienced dysphagia when the patients were questioned, and this percent rises to 40% on using FEES. The results of SDQ were significantly correlated to the results of more accurate FEES. The percentage of dysphagia was higher in patients with PIGD than TD phenotype. Dysphagia was significantly associated with the mean of the Mini-Mental State Examination (MMSE), UPDRS, and modified Hoehn and Yahr scale. Conclusions Dysphagia is a prevalent symptom in early IPD and significantly correlated with Parkinsonism phenotype, UPDRS, and modified Hoehn and Yahr scale. |
| first_indexed | 2024-12-13T05:44:05Z |
| format | Article |
| id | doaj.art-492eeec3c82e4f188da1cc8281739e8f |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-13T05:44:05Z |
| publishDate | 2018-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-492eeec3c82e4f188da1cc8281739e8f2022-12-21T23:57:43ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292018-10-015411710.1186/s41983-018-0031-1Evaluation of dysphagia in different phenotypes of early and idiopathic ParkinsonismAl-Amir Bassiouny Mohamed0Gharib Fawi Mohamed1Hassan Mohamed Elnady2Mohamed Abdelmoneim Sayed3Ahmed Mamdouh Imam4Megahed Mohamed Hassan5Sherihan Rezk Ahmed6Department of Neurology and Psychological Medicine, Sohag UniversityDepartment of Neurology and Psychological Medicine, Sohag UniversityDepartment of Neurology and Psychological Medicine, Sohag UniversityDepartment of Neurology and Psychological Medicine, Sohag UniversityPhoniatric Unit, Faculty of medicine, Department of Otolaryngology, Sohag UniversityPhoniatric Unit, Faculty of medicine, Department of Otolaryngology, Sohag UniversityDepartment of Neurology and Psychological Medicine, Sohag UniversityAbstract Background Parkinsonism (PD) is a common neurodegenerative disorders into which dysphagia occurs mainly in the late stage and to a lesser extent in an early stage. Diagnosis of dysphagia particularly in early idiopathic Parkinson’s disease (IPD) is important as dysphagia affects the quality of life of patients and most of the patients are unaware of this important symptom. Method Fifty-four patients were enrolled in this study presented with early IPD attending to the outpatient clinic of Sohag University Hospital. All PD patients were assessed by using Unified Parkinson’s Disease Rating Scale (UPDRS) and modified Hoehn and Yahr scale. IPD patients were classified into tremor dominant (TD) and postural instability/gait disorder (PIGD) phenotypes. Swallowing disturbance questionnaire (SDQ) and fiberoptic endoscopic evaluation of swallowing (FEES) were used to evaluate dysphagia. Results Thirty-five percent of patients experienced dysphagia when the patients were questioned, and this percent rises to 40% on using FEES. The results of SDQ were significantly correlated to the results of more accurate FEES. The percentage of dysphagia was higher in patients with PIGD than TD phenotype. Dysphagia was significantly associated with the mean of the Mini-Mental State Examination (MMSE), UPDRS, and modified Hoehn and Yahr scale. Conclusions Dysphagia is a prevalent symptom in early IPD and significantly correlated with Parkinsonism phenotype, UPDRS, and modified Hoehn and Yahr scale.http://link.springer.com/article/10.1186/s41983-018-0031-1ParkinsonismDysphagiaSwallowing disturbance questionnaireFiberoptic endoscopic evaluation of swallowing |
| spellingShingle | Al-Amir Bassiouny Mohamed Gharib Fawi Mohamed Hassan Mohamed Elnady Mohamed Abdelmoneim Sayed Ahmed Mamdouh Imam Megahed Mohamed Hassan Sherihan Rezk Ahmed Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Parkinsonism Dysphagia Swallowing disturbance questionnaire Fiberoptic endoscopic evaluation of swallowing |
| title | Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism |
| title_full | Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism |
| title_fullStr | Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism |
| title_full_unstemmed | Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism |
| title_short | Evaluation of dysphagia in different phenotypes of early and idiopathic Parkinsonism |
| title_sort | evaluation of dysphagia in different phenotypes of early and idiopathic parkinsonism |
| topic | Parkinsonism Dysphagia Swallowing disturbance questionnaire Fiberoptic endoscopic evaluation of swallowing |
| url | http://link.springer.com/article/10.1186/s41983-018-0031-1 |
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