{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:23:50Z","timestamp":1773703430949,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Swallowing is a complex task, moderated by a sophisticated bilateral network including multiple supratentorial regions, the brainstem and the cerebellum. To date, conflicting data exist about whether focal lesions to the cerebellum are associated with dysphagia. Therefore, the aim of the study was to evaluate dysphagia prevalence, recovery and dysphagia pattern in patients with ischaemic cerebellar stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of patients consecutively admitted to an academic stroke centre with ischaemic stroke found only in the cerebellum was performed. The presence of dysphagia was the primary end\u2010point and was assessed by a speech\u2010language pathologist, according to defined criteria. Dysphagia pattern was evaluated by analysing the videos of the flexible endoscopic evaluation of swallowing. Brain imaging was used to identify lesion size and location associated with dysphagia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between January 2016 and December 2021, 102 patients (35.3% female) with a mean age of 52.8\u2009\u00b1\u200917.3\u2009years were included. Thirteen (12.7%) patients presented with dysphagia. The most frequently observed flexible endoscopic evaluation of swallowing phenotype was premature spillage (<jats:italic>n<\/jats:italic>\u2009=\u20097; 58.3%), whilst significant residues or aspiration did not occur. One patient died (7.7%); the other patients showed improvement of dysphagia and one patient (7.7%) was discharged with dietary restrictions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the involvement of the cerebellum in deglutition has become increasingly evident, isolated lesions to the cerebellum are less likely to cause clinically relevant and persisting dysphagia compared to other brain regions. The observed dysphagia pattern shows a lack of coordination and control, resulting in premature spillage or fragmented bolus transfer in some patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.16303","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T06:50:36Z","timestamp":1713423036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence, recovery and phenotype of dysphagia in patients with ischaemic cerebellar stroke"],"prefix":"10.1111","volume":"31","author":[{"given":"Jan Hendrik","family":"Schaefer","sequence":"first","affiliation":[{"name":"Department of Neurology Goethe University Frankfurt, University Hospital  Frankfurt am Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Luft","sequence":"additional","affiliation":[{"name":"Department of Neurology Goethe University Frankfurt, University Hospital  Frankfurt am Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Seiler","sequence":"additional","affiliation":[{"name":"Department of Neurology Goethe University Frankfurt, University Hospital  Frankfurt am Main Germany"},{"name":"Department of Neurology University Hospital of Schleswig Holstein  Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Harborth","sequence":"additional","affiliation":[{"name":"Department of Neurology Goethe University Frankfurt, University Hospital  Frankfurt am Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Kaffenberger","sequence":"additional","affiliation":[{"name":"Department of Communication Disorders University of Canterbury  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Polkowski","sequence":"additional","affiliation":[{"name":"Institute of Neuroradiology Goethe 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