Relationship between the onset of the pharyngeal swallowing response and lesion topography in acute ischemic stroke
Relação entre início da resposta faríngea da deglutição e topografia da lesão no acidente vascular cerebral isquêmico agudo
Jasiel da Silva; Roger Florentino Silva; Elisa Gomes Vieira; Ana Paula Brandão Barros; Maria Cristina de Alencar Nunes; Viviane Flumignan Zétola
Abstract
Keywords
Resumo
Objetivo: identificar o local de início da resposta faríngea da deglutição e correlacionar com a topografia da lesão no Acidente Vascular Cerebral Isquêmico (AVCi) agudo.
Métodos: estudo observacional, transversal e prospectivo, envolvendo 30 pacientes de uma unidade de AVC. O estudo ocorreu em quatro fases: (1) avaliação do risco de disfagia; (2) análise topográfica das lesões cerebrais; (3) avaliação objetiva da deglutição por meio da videofluoroscopia; e (4) análise cega dos exames videofluoroscópicos por duas fonoaudiólogas.O início da resposta faríngea foi determinado pelo protocolo Modified Barium Swallow Impairment Profile (MBSImP TM ), considerando o componente 6. Para a análise estatística, utilizaram-se os testes de correlação de Spearman, qui-quadrado e Kappa de Cohen (p < 0,05).
Resultados: a amostra foi composta de 13 (43,0%) mulheres e 17 (57,0%) homens, com idade média de 69,1±9,21 anos. Não houve correlação entre o local de início da resposta faríngea e a topografia das lesões cerebrais.
Conclusão: não se observou correlação entre o local de início da resposta faríngea da deglutição e topografia da lesão encefálica.
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Referencias
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Submitted date:
06/02/2025
Accepted date:
19/08/2025
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