CT-guided Botulinum Toxin Injection into Cricopharyngeus for Dysphagia after True Bulbar Palsy: a Case Report
10.3969/j.issn.1006-9771.2019.04.020
- VernacularTitle:CT引导下肉毒毒素环咽肌注射治疗真性延髓麻痹所致吞咽障碍1例报道
- Author:
Li-chun WANG
1
;
Feng-hui HUANG
1
;
Wei MIAO
1
;
Fang-mei HU
1
;
Jie LIU
1
;
Feng QI
1
;
Li-juan JIA
1
Author Information
1. Department of Rehabilitation Medicine; b. Image Center, Cangzhou Hospital of Integrated TCM-WM Hebei, Cangzhou, Hebei 061000, China
- Publication Type:Research Article
- Keywords:
true bulbar palsy;
dysphagia;
Botulinum toxin;
cricopharyngeus
- From:
Chinese Journal of Rehabilitation Theory and Practice
2019;25(4):477-480
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of CT-guided Botulinum toxin injection into cricopharynx muscle on dysphagia caused by true bulbar palsy. Methods:A case of dysphagia caused by true bulbar palsy was treated with CT-guided Botulinum toxin injection and its therapeutic effect was reported. Results:The patient had dysphagia after brainstem infarction and was diagnosed as true bulbar palsy. After routine rehabilitation of dysphagia and balloon dilatation, her dysphagia relieved, but reappeared three times. Botulinum toxin was injected into the loop pharynx muscle under the guidance of CT, the clinical effect was remarkable, and no recurrence of the disease appeared in the follow-up. Conclusion:CT-guided Botulinum toxin injection into cricopharyngeus is effective on dysphagia caused by true medullary palsy, and the probability of recurrence is small.
