Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem
Neurogenic dysphagia is a difficulty in swallowing food caused by disease or impairment of the nervous system, including stroke and traumatic brain injury. The most clinically apparent complication of neurogenic dysphagia is pulmonary aspiration, which may manifest itself acutely as choking or cough...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Medicines |
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| Online Access: | https://www.mdpi.com/2305-6320/9/2/16 |
| _version_ | 1797478211340206080 |
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| author | Loredana Raciti Gianfranco Raciti Grazia Pulejo Valeria Conti-Nibali Rocco Salvatore Calabrò |
| author_facet | Loredana Raciti Gianfranco Raciti Grazia Pulejo Valeria Conti-Nibali Rocco Salvatore Calabrò |
| author_sort | Loredana Raciti |
| collection | DOAJ |
| description | Neurogenic dysphagia is a difficulty in swallowing food caused by disease or impairment of the nervous system, including stroke and traumatic brain injury. The most clinically apparent complication of neurogenic dysphagia is pulmonary aspiration, which may manifest itself acutely as choking or coughing, respiratory distress, wheezing, gasping or gurgling, and tachycardia. However, chronic symptoms, including weight loss, production of excessive oral secretions and aspiration pneumonia, may be also present, especially in patients with a disorder of consciousness (DOC). Usually, patients with dysphagia after the acute phase need to be treated with enteral nutrition using a feeding tube. This avoids patient malnutrition and supports the rehabilitation program. This narrative review aims to investigate dysphagia and its complications and management in patients with DOC. Clinical indications and practical advice on how to assess and treat this complex problem are also provided. |
| first_indexed | 2024-03-09T21:28:48Z |
| format | Article |
| id | doaj.art-a6fdb8d2fa99412bbe373a8cbc8a7dd3 |
| institution | Directory Open Access Journal |
| issn | 2305-6320 |
| language | English |
| last_indexed | 2024-03-09T21:28:48Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicines |
| spelling | doaj.art-a6fdb8d2fa99412bbe373a8cbc8a7dd32023-11-23T21:01:48ZengMDPI AGMedicines2305-63202022-02-01921610.3390/medicines9020016Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical ProblemLoredana Raciti0Gianfranco Raciti1Grazia Pulejo2Valeria Conti-Nibali3Rocco Salvatore Calabrò4GCA-Centro Spoke AO Cannizzaro, Catania, IRCCS Centro Neurolesi Bonino-Pulejo, 95122 Messina, ItalyGCA-Centro Spoke AO Cannizzaro, Catania, IRCCS Centro Neurolesi Bonino-Pulejo, 95122 Messina, ItalyNeurorehabilitation Unit, IRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, ItalyNeurorehabilitation Unit, IRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, ItalyNeurorehabilitation Unit, IRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, ItalyNeurogenic dysphagia is a difficulty in swallowing food caused by disease or impairment of the nervous system, including stroke and traumatic brain injury. The most clinically apparent complication of neurogenic dysphagia is pulmonary aspiration, which may manifest itself acutely as choking or coughing, respiratory distress, wheezing, gasping or gurgling, and tachycardia. However, chronic symptoms, including weight loss, production of excessive oral secretions and aspiration pneumonia, may be also present, especially in patients with a disorder of consciousness (DOC). Usually, patients with dysphagia after the acute phase need to be treated with enteral nutrition using a feeding tube. This avoids patient malnutrition and supports the rehabilitation program. This narrative review aims to investigate dysphagia and its complications and management in patients with DOC. Clinical indications and practical advice on how to assess and treat this complex problem are also provided.https://www.mdpi.com/2305-6320/9/2/16dysphagiasilent aspirationnutritionDOCneurorehabilitationFEES |
| spellingShingle | Loredana Raciti Gianfranco Raciti Grazia Pulejo Valeria Conti-Nibali Rocco Salvatore Calabrò Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem Medicines dysphagia silent aspiration nutrition DOC neurorehabilitation FEES |
| title | Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem |
| title_full | Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem |
| title_fullStr | Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem |
| title_full_unstemmed | Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem |
| title_short | Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an “Old” but Still Actual Clinical Problem |
| title_sort | neurogenic dysphagia and nutrition in disorder of consciousness an overview with practical advices on an old but still actual clinical problem |
| topic | dysphagia silent aspiration nutrition DOC neurorehabilitation FEES |
| url | https://www.mdpi.com/2305-6320/9/2/16 |
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