ArticleDysphagia2019
Is the Location of White Matter Lesions Important in the Swallowing Function of Older Patients with Mild Stroke?
Article in Dysphagia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Dynamic suprahyoid muscle ultrasound in acute stroke: a prospective observational study for developing a dysphagia severity score.European journal of physical and rehabilitation medicine · 2026Observational
- White Matter Microstructural Correlates of Swallowing Biomechanics: An Exploratory Pilot Study in Healthy Young Adults.Dysphagia · 2025Article
- Impact of bilateral and unilateral cerebral lesions on swallowing recovery at 6 months in poststroke dysphagia.Scientific reports · 2025Article
- Incidence and Risk Factors for Dysphagia Following Cerebellar Stroke: a Retrospective Cohort Study.Cerebellum (London, England) · 2024Article
- Review
- Cerebral small vessel disease is an independent determinant of dysphagia after acute stroke.NeuroImage. Clinical · 2024Observational
- Neural basis of dysphagia in stroke: A systematic review and meta-analysis.Frontiers in human neuroscience · 2023Review
- Dysphagia prognosis prediction via corticobulbar tract assessment in lateral medullary infarction: a diffusion tensor tractography study.Dysphagia · 2021Article
- Prognostic Prediction of Dysphagia by Analyzing the Corticobulbar Tract in the Early Stage of Intracerebral Hemorrhage.Dysphagia · 2020Article
- Post-stroke Dysphagia: Recent Insights and Unanswered Questions.Current neurology and neuroscience reports · 2020Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Older patients with stroke have poor functional prognosis compared to younger patients. Patients with stroke who have severe white matter (WM) lesions have been reported to have swallowing problems. The aim of this study was to determine whether the location of WM lesions affects swallowing function in older patients with mild stroke. We conducted a retrospective analysis of 88 patients aged > 65 years who had a National Institutes of Health Stroke Scale score of ≤ 5 and who underwent videofluoroscopic swallowing examination after their first stroke. Participants were divided into three groups according to the involvement of corticobulbar tract (CBT) as follows: group I, no involvement of CBT; group II, involvement of CBT in one hemisphere; and group III, involvement of CBT in both hemispheres. Linear regression analysis showed that pharyngeal transit time tended to increase according to the involvement of CBT in WM lesion (p = 0.043). In addition, inadequate laryngeal elevation was related to the involvement of CBT (p = 0.016). Early spillage, inadequate laryngeal elevation, and penetration could also be predicted by Fazekas grade. Accordingly, the location of WM lesions can be regarded as a potential predictive factor for dysphagia. Moreover, in patients with WM lesions involving CBT, detailed evaluation of dysphagia is required.
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