Japanese

A case of dysphagia characterized by Vernet's syndrome (jugular foramen syndrome) and hypoglossal nerve paralysis due to a malignant lymphoma Atsunobu Sato 1 , Ryo Oono 2 , Kanako Ikegami 1 , Keiko Niimi 1 , Hirotatsu Takahashi 3 , Ichiro Fujishima 4 1Department of Rehabilitation, Seirei Hamamatsu General Hospital 2Department of Rehabilitation, Seirei Hamamatsu General Hospital 3Department of Rehabilitation, Ohta Atami General Hospital 4Department of Rehabilitation, Hamamatsu City Rehabilitation Hospital Keyword: Vernet症候群 , 嚥下障害 , 嚥下リハビリテーション , 化学放射線治療 , 舌接触補助床 , Vernet's syndrome , dysphagia , swallowing rehabilitation , radiation , palatal augmentation prosthesis pp.163-168
Published Date 2013/9/15
DOI https://doi.org/10.11477/mf.6001100378
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 We report a case of dysphagia characterized by Vernet's syndrome (jugular foramen syndrome) and hypoglossal nerve paralysis due to a malignant lymphoma. The patient presented with a bulbar palsy type of dysphagia which restricted pharyngeal contraction as well as laryngeal elevation and upper esophageal sphincter opening, and impaired anchor function. We conducted swallowing rehabilitation paying close attention to the patient's condition and the medical treatment. Swallowing rehabilitation, feeding therapy and basic training were conducted before chemoradiation. Only basic training was conducted during chemoradiation. After chemoradiation, palatal augmentation prosthesis (PAP) was useful in clearing the oral residue resulting from hypoglossal nerve paralysis. For this patient, radiation and swallowing rehabilitation were effective for improvement of dysphagia.


Copyright © 2013, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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