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Kulneff, Linda
Publications (2 of 2) Show all publications
Kulneff, L., Sundstedt, S., Olofsson, K., van Doorn, J., Linder, J., Nordh, E. & Blomstedt, P. (2013). Deep brain stimulation: effects on swallowing function in Parkinson's disease. Acta Neurologica Scandinavica, 127(5), 329-336
Open this publication in new window or tab >>Deep brain stimulation: effects on swallowing function in Parkinson's disease
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2013 (English)In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 127, no 5, p. 329-336Article in journal (Refereed) Published
Abstract [en]

Objective: In patients with Parkinson’s disease (PD), deep brainstimulation of the subthalamic nucleus (STN DBS) is well recognizedin improving limb function, but the outcome on swallowing functionhas rarely been studied. The aim of this work was to evaluate theeffect of STN DBS on pharyngeal swallowing function in patientswith PD using self-estimation and fiberoptic endoscopic evaluation ofswallowing.

Methods: Eleven patients (aged 41–72, median 61 years)were evaluated preoperatively and at 6 and 12 months after STN DBSsurgery. All patients were evaluated with self-estimation on a visualanalogue scale, and eight of them with a fiberoptic endoscopicexamination with a predefined swallowing protocol includingRosenbek’s Penetration-Aspiration Scale, Secretion Severity Scale,preswallow spillage, pharyngeal residue, and pharyngeal clearance.

Results: The self-assessments of swallowing function revealed asubjective improvement with STN DBS stimulation, whereas the datafrom the swallowing protocol did not show any significant effect ofthe STN DBS treatment itself. The prevalence of aspiration was notaffected by the surgery.

Conclusions: The results show thatswallowing function was not negatively affected by STN DBS and therisk of aspiration did not increase. Self-estimation of swallowingfunction showed a subjective improvement due to stimulation.

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2013
Keywords
deep brain stimulation, subthalamic nucleus, dysphagia, Parkinson’s disease, fiberoptic endoscopic evaluation of swallowing, swallowing function, aspiration, L-dopa
National Category
Otorhinolaryngology
Research subject
Medicine
Identifiers
urn:nbn:se:umu:diva-61453 (URN)10.1111/ane.12019 (DOI)000317859900008 ()
Projects
Speech, voice and swallowing outcomes after deep brain stimulation (DBS)
Available from: 2013-04-11 Created: 2012-11-14 Last updated: 2018-06-08Bibliographically approved
Olofsson, K., Van Doorn, J., Kulneff, L., Linder, J., Nordh, E. & Blomstedt, P. (2010). Djup hjärnstimulering vid dysfagi hos parkinsonpatienter: den självskattade sväljningsfunktionen förbättrades i pilotstudie. Läkartidningen, 107(17), 1150-1154
Open this publication in new window or tab >>Djup hjärnstimulering vid dysfagi hos parkinsonpatienter: den självskattade sväljningsfunktionen förbättrades i pilotstudie
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2010 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 17, p. 1150-1154Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Läkartidningen Förlag AB, 2010
Keywords
Parkinson
National Category
Neurology
Identifiers
urn:nbn:se:umu:diva-37215 (URN)20518382 (PubMedID)
Note
Titeln på engelska: Deep brain stimulation in dysphagia among patients with Parkinson disease. The self-evaluated swallowing function improved in a pilot study.Available from: 2010-10-21 Created: 2010-10-21 Last updated: 2018-06-08Bibliographically approved
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