Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report

Abstract We experienced a malnourished 62‐year‐old male patient with Wallenberg syndrome whose swallowing‐related muscle mass was shown to improve on ultrasound following aggressive nutritional therapy used to improve malnutrition. Dysphagia improved from no oral intake at admission to regular oral...

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Main Authors: Hidetaka Wakabayashi, Masako Kishima, Masataka Itoda
Format: Article
Language:English
Published: Wiley 2021-11-01
Series:Journal of General and Family Medicine
Subjects:
Online Access:https://doi.org/10.1002/jgf2.428
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author Hidetaka Wakabayashi
Masako Kishima
Masataka Itoda
author_facet Hidetaka Wakabayashi
Masako Kishima
Masataka Itoda
author_sort Hidetaka Wakabayashi
collection DOAJ
description Abstract We experienced a malnourished 62‐year‐old male patient with Wallenberg syndrome whose swallowing‐related muscle mass was shown to improve on ultrasound following aggressive nutritional therapy used to improve malnutrition. Dysphagia improved from no oral intake at admission to regular oral intake at discharge by aggressive rehabilitation nutrition. Rate increases in body weight, skeletal muscle index, and coronal cross‐section of geniohyoid muscle area assessed by ultrasound during the 131 days of hospitalization were 15%, 21%, and 33%, respectively. Aggressive nutritional therapy, aimed at improving malnutrition, can improve swallowing‐related muscle mass. Ultrasonography of the swallowing‐related muscles over time is useful in assessing dysphagia.
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spelling doaj.art-bc77c5a4008146f38856fec4e6b33f842022-12-21T19:19:55ZengWileyJournal of General and Family Medicine2189-79482021-11-0122634134310.1002/jgf2.428Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case reportHidetaka Wakabayashi0Masako Kishima1Masataka Itoda2Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital Tokyo JapanDepartment of Dentistry Wakakusa‐Tatsuma Rehabilitation Hospital Osaka JapanDepartment of Oral Rehabilitation Osaka Dental University Hospital Osaka JapanAbstract We experienced a malnourished 62‐year‐old male patient with Wallenberg syndrome whose swallowing‐related muscle mass was shown to improve on ultrasound following aggressive nutritional therapy used to improve malnutrition. Dysphagia improved from no oral intake at admission to regular oral intake at discharge by aggressive rehabilitation nutrition. Rate increases in body weight, skeletal muscle index, and coronal cross‐section of geniohyoid muscle area assessed by ultrasound during the 131 days of hospitalization were 15%, 21%, and 33%, respectively. Aggressive nutritional therapy, aimed at improving malnutrition, can improve swallowing‐related muscle mass. Ultrasonography of the swallowing‐related muscles over time is useful in assessing dysphagia.https://doi.org/10.1002/jgf2.428dysphagianutritionrehabilitationsarcopeniastroke
spellingShingle Hidetaka Wakabayashi
Masako Kishima
Masataka Itoda
Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
Journal of General and Family Medicine
dysphagia
nutrition
rehabilitation
sarcopenia
stroke
title Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
title_full Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
title_fullStr Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
title_full_unstemmed Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
title_short Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report
title_sort improvement of swallowing related muscle mass assessed by ultrasonography in malnourished patient with wallenberg syndrome a case report
topic dysphagia
nutrition
rehabilitation
sarcopenia
stroke
url https://doi.org/10.1002/jgf2.428
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AT masatakaitoda improvementofswallowingrelatedmusclemassassessedbyultrasonographyinmalnourishedpatientwithwallenbergsyndromeacasereport