Cricopharyngeal Botulinum Toxin Injection under Ultrasonic Guidance for Dysphagia from Wallenberg's Syndrome: A Case Report
10.3969/j.issn.1006-9771.2020.11.020
- VernacularTitle:超声引导下肉毒毒素环咽肌注射治疗延髓背外侧综合征所致吞咽障碍1例报道
- Author:
Ying YANG
1
;
Mei-na XU
2
;
Xiang-liang LI
3
;
Luan XIE
4
;
Hai-peng JIN
3
Author Information
1. Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China
2. Department of Ultrasound Medicine, Xiamen Hospital of Beijing University of Traditional Chinese Medicine, Xiamen, Fujian 361009, China
3. Acupuncture Rehabilitation Department, Xiamen Hospital of Beijing University of Traditional Chinese Medicine, Xiamen, Fujian 361009, China
4. College of Acupuncture, Xiamen Hospital of Beijing University of Traditional Chinese Medicine, Xiamen, Fujian 361009, China
- Publication Type:Research Article
- Keywords:
Wallenberg's syndrome;
dysphagia;
cricopharyngeal achalasia;
Botulinum toxin;
ultrasonic guidance
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(11):1358-1364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of cricopharyngeal injection of Botulinum toxin under ultrasonic guidance for treatment of dysphagia caused by Wallenberg's syndrome. Methods:A case was reviewed. Results:This patient was diagnosed as cricopharyngeal achalasia after dorsal lateral rostral infarction, and responded poor to routine treatment for swallowing disorders, including balloon dilatation. He accepted cricopharyngeal Botulinum toxin injection under ultrasonic guidance. As evaluated with Toshima Ichiro Ingestion-Swallowing Function Rating Scale, Rosenbek Penetration-Aspiration Scale and videofluoroscopic swallowing study (VFSS), his swallowing improved after treatment, and became normal as follow-up one and three months after treatment. Conclusion:Cricopharyngeal Botulinum toxin injection under ultrasonic guidance is feasible for cricopharyngeal achalasia of Wallenberg's syndrome with immediate and long-term effect.
