{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T04:28:58Z","timestamp":1794544138177,"version":"4.9.1"},"reference-count":32,"publisher":"American Speech Language Hearing Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Speech Lang Pathol"],"published-print":{"date-parts":[[2019,11,19]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Severe dysphagia with weak pharyngeal peristalsis after dorsal lateral medullary infarction (LMI) requires long-term tube feeding. However, no study is currently available on therapeutic effectiveness in severe dysphagia caused by nuclear damage of vagus nerve after dorsal LMI. The purpose of the present investigation was to explore the potential of transcutaneous vagus nerve stimulation (tVNS) to improve severe dysphagia with weak pharyngeal peristalsis after dorsal LMI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>We assessed the efficacy of 6-week tVNS in a 28-year-old woman presented with persisting severe dysphagia after dorsal LMI who had been on nasogastric feeding for 6 months. tVNS was applied for 20 min twice a day, 5 days a week, for 6 weeks. The outcome measures included saliva spitted, Swallow Function Scoring System, Functional Oral Intake Scale, Clinical Assessment of Dysphagia With Wallenberg Syndrome, Yale Pharyngeal Residue Severity Rating Scale, and upper esophagus X-ray examination.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>After tVNS, the patient was advanced to a full oral diet without head rotation or spitting. No saliva residue was found in the valleculae and pyriform sinuses. Contrast medium freely passed through the upper esophageal sphincter.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Our findings suggest that tVNS might provide a useful means for recovery of severe dysphagia with weak pharyngeal peristalsis after dorsal LMI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Supplemental Material<\/jats:title>\n            <jats:p>\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.23641\/asha.9755438\">https:\/\/doi.org\/10.23641\/asha.9755438<\/jats:ext-link>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2019_ajslp-18-0262","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T17:57:27Z","timestamp":1568051847000},"page":"1381-1387","source":"Crossref","is-referenced-by-count":16,"title":["Effect of Transcutaneous Vagus Nerve Stimulation in Dysphagia After Lateral Medullary Infarction: A Case Report"],"prefix":"10.1044","volume":"28","author":[{"given":"Ying","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Xuanwu Hospital Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Xuanwu Hospital Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongyu","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Xuanwu Hospital Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiqun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Xuanwu Hospital Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000434652"},{"key":"e_1_3_2_3_1","first-page":"827","article-title":"Esophageal myoelectric responses to magnetic stimulation of the human cortex and the extracranial vagus nerve","volume":"267","author":"Aziz Q.","year":"1994","journal-title":"American Journal of Physiology"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brs.2015.11.003"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.04.016"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.28.1809"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0004-2803.201800000-45"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/BMT.2008.022"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005072-196107000-00001"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainres.2007.08.045"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brs.2016.10.008"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2015.16.4.749"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.2001.81.2.929"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.188482"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756286418759864"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awg169"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.40.7.1136"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-015-9631-4"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.2_Part_1.244"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.52.0011"},{"key":"e_1_3_2_22_1","first-page":"283","article-title":"Electromyography of the pharyngeal musculature: Technical considerations","volume":"70","author":"Palmer J. 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