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Radiological and manometric diagnosis of cricopharyngeal dysphagia in a Japanese encephalitis survivor
Author(s) -
Chuang Y.M.,
Kwan S.Y.,
Lirng J.F.,
Tiu C.M.,
Pan P.J.
Publication year - 2002
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1046/j.1468-1331.2002.00431.x
Subject(s) - medicine , dysphagia , swallowing , radiological weapon , sequela , pediatrics , extrapyramidal disorder , surgery , disease
Japanese encephalitis (JE) is endemic throughout most of the western Pacific region where Taiwan is located. About half the survivors are left with neurological damages. We report a 55‐year‐old male who survived from JE and was left with sequela of parkinsonism and severe swallowing disorder. Later, it was proved to be cricopharyngeal dysphagia (CPD) using esophagogram and manometry, which disclosed involuntary hypertonic and hyperreflexic cricopharyngeal muscle contraction. CPD, a life‐threatening neurological sequel of JE, has never been reported in the JE survivors before and possibly results from disseminated lesions over pyramidal and extrapyramidal systems.