DIGITAL CINERADIOGRAPHIC STUDY OF SWALLOWING IN PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS

Ludovico La Grutta, Marcello De Maria, Adelfio Cardinale, Adele Taibbi, Roberto Lagalla, Massimo Midiri, Tommaso Vincenzo Bartolotta, Massimo Galia, Ludovico La Grutta, Adele Taibbi, Lo Re, Russo, Runza, Lo Greco, D'Agostino, Tommaso Vincenzo Bartolotta, Massimo Galia, Roberto Lagalla, Cardinale, Massimo MidiriMarcello De Maria, Russo, Giuseppe Lo Re

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Abstract

Purpose. This study was performed to evaluate the usefulness of digital cineradiography in detecting swallowing disorders in dysphagic patients affected by amyotrophic lateral sclerosis (ALS) with a view to planning an adequate therapeutic approach. Material and methods. From January 2005 to September 2006, 23 patients (10 men and 13 women; mean age 41.3±8.6 years) affected by ALS were evaluated with digital cineradiography to assess the grade of dysphagia. All patients were classified usingthe Hillel ALS Severity Scale (ALSSS). All examinations were performed with radiocontrolled equipment provided with a digital C-arm. Results. The cineradiographic technique enabled us to differentiate patients with disorders of the oral (17/23) and/or pharyngeal (19/23) swallowing phase from those without swallowing dysfunction (4/23). In 14/23 patients, passage of contrast medium into the upper airways was observed during swallowing, whereas in 5/23 cases, aspiration of contrast medium into the lower airways was recorded. Conclusions. The videofluoroscopic swallowing study has high diagnostic capabilities in the evaluation of swallowing disorders, as it is able to identify the degree and causes of impairment. In addition, the study proved useful for planning speech therapy and for follow-up in patients with ALS.
Original languageUndefined/Unknown
Pages (from-to)1173-1187
Number of pages15
JournalLA RADIOLOGIA MEDICA
Volume112
Publication statusPublished - 2007

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

La Grutta, L., De Maria, M., Cardinale, A., Taibbi, A., Lagalla, R., Midiri, M., Bartolotta, T. V., Galia, M., La Grutta, L., Taibbi, A., Lo Re, Russo, Runza, Lo Greco, D'Agostino, Bartolotta, T. V., Galia, M., Lagalla, R., Cardinale, ... Lo Re, G. (2007). DIGITAL CINERADIOGRAPHIC STUDY OF SWALLOWING IN PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS. LA RADIOLOGIA MEDICA, 112, 1173-1187.