RESUMO
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.
Assuntos
Transtornos de Deglutição/cirurgia , Junção Esofagogástrica/cirurgia , Síndrome Medular Lateral/complicações , Músculos Faríngeos/cirurgia , Deglutição/fisiologia , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/fisiopatologia , Junção Esofagogástrica/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Músculos Faríngeos/fisiopatologiaRESUMO
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.