ABSTRACT
Disorders of swallowing of the central genesis can be eliminated by means of a simple surgical operation--longitudinal dissection of the pharyngoesophageal sphincter. Since a positive result was obtained in 4 cases out of 5, the authors hold that the surgical method of dysphagia treatment merits introduction into medical practice.
Subject(s)
Deglutition Disorders/surgery , Esophagogastric Junction/surgery , Lateral Medullary Syndrome/complications , Pharyngeal Muscles/surgery , Deglutition/physiology , Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Esophagogastric Junction/physiopathology , Humans , Male , Middle Aged , Pharyngeal Muscles/physiopathologyABSTRACT
In 4 patients with residual cerebral circulation disorders in the vertebrobasilar vascular bed, the myoclonus of soft palate, pharynx, larynx, tongue (in 2 cases comprising opsoclonus) developed among other signs of brainstem or cerebellar lesions. Myoclonic hyperkinesia emerged after 1.5 to 4 months of the disease, not in its acute period, and was not related to second stroke. With focal neurological signs analyzed, the syndrome of the soft palate myoclonus++ plus opsoclonus appeared in connection with the lesions of upper cerebellar crus where dento olivary++ pathway and the fibers connecting the cerebellar flocculus with oculomotor nuclei run. Soft palate myoclonus++ without opsoclonus emerges with lesions of cerebellar dental nucleus and central pathway of the brainstem tegmentum.