High Resolution Manometry Analysis of a Patient With Dysphagia After Occiput-C3/4 Posterior Fusion Operation.
10.5535/arm.2015.39.6.1028
- Author:
Yoongul OH
1
;
Seok Tae LEE
;
Ju Seok RYU
Author Information
1. Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Manometry;
Deglutition disorders;
Cervical vertebrae;
Neurosurgery
- MeSH:
Aged, 80 and over;
Cervical Vertebrae;
Deglutition;
Deglutition Disorders*;
Esophageal Sphincter, Upper;
Female;
Humans;
Manometry*;
Neurosurgery;
Peristalsis
- From:Annals of Rehabilitation Medicine
2015;39(6):1028-1032
- CountryRepublic of Korea
- Language:English
-
Abstract:
Many reports of changes in cervical alignment after posterior occipitocervical (O-C) fusion causing dysphagia are available. The clinical course can range from mild discomfort to severe aspiration. However, the underlying pathogenesis is not well known. We report an 80-year-old female with videofluoroscopic swallowing study evidence of aspiration that developed after occiput-C3/4 posterior fusion. Pharyngeal pressure was analyzed using high resolution manometry (HRM). Impaired upper esophageal sphincter opening along with diminished peristalsis and pharyngeal pressure gradient were revealed by HRM to be the main characteristics in such patients. The patient fully recovered after a revision operation for cervical angle correction. Distinct pressure patterns behind reversible dysphagia caused by a change in cervical alignment were confirmed using HRM analysis.
