Swallowing capacity and gravity of the laryngotracheal aspiration risk in atypical cerebellar stroke: case report.
Sara Virgínia Paiva Santos, Brenda Carla Lima Araújo, Claudia Sordi and 4 others
PMID 37909490WHAT IT FOUND
In a single outpatient one year and five months after a cerebellar stroke, bedside swallowing screens found moderate dysphagia with aspiration risk.
She had left mouth numbness, poor voluntary cough, and choking with liquids.
Key findings
01On the Gugging Swallowing Screen, the patient scored 11 points and was classified as having moderate dysphagia with a risk of aspiration.
02On the Massey Bedside Swallowing Screen, 16 of the twenty aspects differed, and water swallowing was accompanied by choking, cough, voice change, and leakage from the left lip commissure.
03The routine speech therapy exam found absent left intraoral sensation, difficulty starting voluntary cough, and spontaneous swallowing that was preserved but ineffective.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
It is a single case, so it cannot show how common dysphagia is after cerebellar stroke or whether the tests work for other patients. The patient was seen one year and five months after stroke, not in the acute phase, so it says little about immediate post-stroke care. The report presents assessment findings, not treatment or follow-up outcomes. The MBSS and GUSS were translated into Portuguese from Portugal without indexed publication and were being adapted for Brazilian Portuguese at the time.
The easy way to misread this
Do not read this as evidence that cerebellar stroke causes moderate dysphagia in outpatients. It reports a single patient, so it cannot show how common the problem is or that the bedside tests are accurate for everyone.