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Master Thesis

Le radiocinéma de déglutition : l'examen de référence dès la prise en charge précoce de la dysphagie post AVC ? Élaboration d'un protocole d'évaluation et étude de cas

Abstract : Early management of swallowing after stroke is necessary. When a patient is suspected of dysphagia after clinical assessment, a complementary technique is recommended. This study aims at determining if modified barium swallow is a privileged tool in management of acute hemispheric stroke. We have study a case with acute hemispheric stroke. We have compared pathophysiological mechanism and therapeutic recommendations resulting from fiberoptic endoscopic evaluation of swallowing and modified barium swallow respectively. Outcomes indicate that modified barium swallow may help to better understand disturbances. Therapeutic recommendations of both are similar overall. However, modified barium swallow is the most efficient to plan rehabilitation strategies. But, it is not a priority because disturbances are self-limiting and usually resolve within few weeks. Furthermore, others disturbances associated with acute stroke and modified barium swallow’s restrictions limit access to this exam. Thus, the modified barium swallow is not to be used as a first-line exam in acute stroke. It seems to be more appropriate as a second-line exam, when disturbances persist.
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https://dumas.ccsd.cnrs.fr/dumas-01372727
Contributor : Muriel Pelletier-Guichard <>
Submitted on : Tuesday, September 27, 2016 - 3:48:21 PM
Last modification on : Tuesday, April 14, 2020 - 12:18:14 PM
Long-term archiving on: : Wednesday, December 28, 2016 - 1:51:51 PM

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  • HAL Id : dumas-01372727, version 1

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Claire Durand. Le radiocinéma de déglutition : l'examen de référence dès la prise en charge précoce de la dysphagie post AVC ? Élaboration d'un protocole d'évaluation et étude de cas. Sciences cognitives. 2016. ⟨dumas-01372727⟩

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