Cricopharyngeal dysfunction in Parkinson's disease: Role in dysphagia and response to myotomy

被引:54
作者
Born, LJ
Harned, RH
Rikkers, LF
Pfeiffer, RF
Quigley, EMM
机构
[1] UNIV NEBRASKA,MED CTR,SECT GASTROENTEROL & HEPATOL,DEPT INTERNAL MED,OMAHA,NE 68198
[2] UNIV NEBRASKA,MED CTR,DEPT RADIOL,OMAHA,NE 68198
[3] UNIV NEBRASKA,MED CTR,DEPT SURG,OMAHA,NE 68198
关键词
Parkinson's disease; dysphagia; cricopharyngeal myotomy; cricopharyngeal function;
D O I
10.1002/mds.870110110
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report five patients with Parkinson's disease and dysphagia who were found, by radiological and manometric evaluation, to have evidence of cricopharyngeal dysfunction, which included the presence of a Zenker's diverticulum in two. Cricopharyngeal myotomy was in four patients with excellent and sustained improvement in swallowing. We conclude that cricopharyngeal function should be carefully evaluated in patients with Parkinson's disease and dysphagia and that surgical treatment should be considered in appropriate cases.
引用
收藏
页码:53 / 58
页数:6
相关论文
共 50 条
[21]  
EADIE MJ, 1965, AUSTRALAS ANN MED, V14, P23
[22]   GASTROINTESTINAL SYMPTOMS IN PARKINSONS-DISEASE [J].
EDWARDS, LL ;
PFEIFFER, RF ;
QUIGLEY, EMM ;
HOFMAN, R ;
BALLUFF, M .
MOVEMENT DISORDERS, 1991, 6 (02) :151-156
[23]   CRICOPHARYNGEAL MYOTOMY FOR PHARYNGO-ESOPHAGEAL DIVERTICULUM [J].
ELLIS, FH ;
SCHLEGEL, JF ;
LYNCH, VP ;
PAYNE, WS .
ANNALS OF SURGERY, 1969, 170 (03) :340-+
[24]  
ELLIS FH, 1971, SURG CLIN N AM, V51, P553
[25]   ESOPHAGEAL MOTILITY IN NEUROMUSCULAR DISORDERS [J].
FISCHER, RA ;
ELLISON, GW ;
THAYER, WR ;
SPIRO, HM ;
GLASER, GH .
ANNALS OF INTERNAL MEDICINE, 1965, 63 (02) :229-+
[26]   SURGICAL-MANAGEMENT FOR RECURRENT PHARYNGOESOPHAGEAL (ZENKERS) DIVERTICULUM [J].
HUANG, BS ;
PAYNE, WS ;
CAMERON, AJ .
ANNALS OF THORACIC SURGERY, 1984, 37 (03) :189-191
[27]   CRICOPHARYNGEAL SPHINCTER IN GASTRIC REFLUX [J].
HUNT, PS ;
CONNELL, AM ;
SMILEY, TB .
GUT, 1970, 11 (04) :303-&
[28]   UPPER-ESOPHAGEAL SPHINCTER DYSFUNCTION - PATHOGENESIS AND TREATMENT [J].
HURWITZ, AL ;
DURANCEAU, A .
AMERICAN JOURNAL OF DIGESTIVE DISEASES, 1978, 23 (03) :275-281
[29]   DETERMINANTS OF UPPER ESOPHAGEAL SPHINCTER PRESSURE IN DOGS [J].
JACOB, P ;
KAHRILAS, PJ ;
HERZON, G ;
MCLAUGHLIN, B .
AMERICAN JOURNAL OF PHYSIOLOGY, 1990, 259 (02) :G245-G251
[30]   UPPER ESOPHAGEAL SPHINCTER OPENING AND MODULATION DURING SWALLOWING [J].
JACOB, P ;
KAHRILAS, PJ ;
LOGEMANN, JA ;
SHAH, V ;
HA, T .
GASTROENTEROLOGY, 1989, 97 (06) :1469-1478