{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T07:38:26Z","timestamp":1785829106088,"version":"3.56.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p>\n            Introduction:\u2003In the literature, the incidence of oropharyngeal dysphagia in patients with cerebrovascular accident (AVE) ranges 20\u201390%. Some studies correlate the location of a stroke with dysphagia, while others do not.<\/jats:p><jats:p>\n            Objective:\u2003To correlate brain injury with dysphagia in patients with stroke in relation to the type and location of stroke.<\/jats:p><jats:p>\n            Method:\u2003A prospective study conducted at the Hospital de Clinicas with 30 stroke patients: 18 women and 12 men. All patients underwent clinical evaluation and swallowing nasolaryngofibroscopy (FEES\u00ae), and were divided based on the location of the injury: cerebral cortex, cerebellar cortex, subcortical areas, and type: hemorrhagic or transient ischemic.<\/jats:p><jats:p>\n            Results:\u2003Of the 30 patients, 18 had ischemic stroke, 10 had hemorrhagic stroke, and 2 had transient stroke. Regarding the location, 10 lesions were in the cerebral cortex, 3 were in the cerebral and cerebellar cortices, 3 were in the cerebral cortex and subcortical areas, and 3 were in the cerebral and cerebellar cortices and subcortical areas. Cerebral cortex and subcortical area ischemic strokes predominated in the clinical evaluation of dysphagia. In FEES\u00ae, decreased laryngeal sensitivity persisted following cerebral cortex and ischemic strokes. Waste in the pharyngeal recesses associated with epiglottic valleculae predominated in the piriform cortex in all lesion areas and in ischemic stroke. A patient with damage to the cerebral and cerebellar cortices from an ischemic stroke exhibited laryngeal penetration and tracheal aspiration of liquid and honey.<\/jats:p><jats:p>\n            Conclusion:\u2003Dysphagia was prevalent when a lesion was located in the cerebral cortex and was of the ischemic type.<\/jats:p>","DOI":"10.7162\/s1809-97772012000300003","type":"journal-article","created":{"date-parts":[[2012,7,11]],"date-time":"2012-07-11T02:20:32Z","timestamp":1341973232000},"page":"313-321","source":"Crossref","is-referenced-by-count":17,"title":["Correlation between brain injury and dysphagia in adult patients with stroke"],"prefix":"10.1055","volume":"16","author":[{"given":"Ari Leon","family":"Jurkiewicz","sequence":"first","affiliation":[{"name":"Geriatrician. Doctor of Sciences from the UNIFESP \/ EPM. Professor of Masters and Doctorate in Communication Disorders at the University Tuiuti - Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosane Sampaio","family":"Santos","sequence":"first","affiliation":[{"name":"Speech Therapist. Student Doctorate in Internal Medicine from the Universidade Federal do Paran\u00e1 (HC-UFPR). Professor of Masters and Doctorate in Communication Disorders at the University Tuiuti - Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria","family":"Furkim","sequence":"first","affiliation":[{"name":"Speech Therapist. Doctor in Human Communication Disorders from the Federal University of Sao Paulo. Professor of Speech Pathology, Federal University of Santa Catarina\/SC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Massi","sequence":"first","affiliation":[{"name":"Speech Therapist. Doctor in Linguistics from the Universidade Federal do Paran\u00e1 (UFPR). Professor of Masters and Doctorate in Communication Disorders at the University Tuiuti - Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele Sant Ana","family":"Pinto","sequence":"first","affiliation":[{"name":"Speech Therapist. Student Master in Internal Medicine from the Universidade Federal do Paran\u00e1 (HC-UFPR) - Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos Christiano","family":"Lange","sequence":"first","affiliation":[{"name":"Neurologist. Doctor in Internal Medicine from the Universidade Federal do Paran\u00e1 (HC-UFPR) - Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina de Alencar","family":"Nunes","sequence":"additional","affiliation":[{"name":"Speech Therapist. Student Doctorate in Internal Medicine from the Universidade Federal do Paran\u00e1 (HC-UFPR). Professor of the Specialization Course on Dysphagia and Voice of the University Tuiuti do Paran\u00e1 \u2013 Curitiba\/PR."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2013,12,5]]},"reference":[{"key":"ref1","volume-title":"A incid\u00eancia do acidente vascular cerebral no Brasil"},{"key":"ref2","first-page":"212","volume-title":"Fisiologia da degluti\u00e7\u00e3o orofar\u00edngea","year":"2004"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/MOO.0b013e32832b255e","article-title":"Cortical input in control of swallowing","volume":"17","year":"2009","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"ref4","first-page":"34","article-title":"Avalia\u00e7\u00e3o da disfagia em pacientes pedi\u00e1tricos com traumatismo cr\u00e2nio-encef\u00e1lico","volume":"7","year":"2005","journal-title":"Rev. CEFAC"},{"key":"ref5","volume-title":"Model medical review guidelines for dysphagia services [monograph on the Internet] 2004 (Revision to DynCorp 2001 FTRP by ASHA)"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S1047-9651(18)30699-5","article-title":"Rehabilitation of swallowing disorders due to stroke","volume":"2","year":"1991","journal-title":"Phys Med Rehabil Clin N Amer"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1159\/000077663","article-title":"Dysphagia following stroke","volume":"51","year":"2004","journal-title":"Euro Neurol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1590\/S0004-282X2004000300023","article-title":"Incid\u00eancia de disfagia orofar\u00edngea ap\u00f3s acidente vascular encef\u00e1lico em hospital p\u00fablico de refer\u00eancia","volume":"62","year":"2004","journal-title":"Arq Neuropsiquiatr"},{"key":"ref9","first-page":"135","article-title":"Associa\u00e7\u00e3o entre disfagia e o topodiagn\u00f3stico da les\u00e3o encef\u00e1lica p\u00f3s-acidente vascular encef\u00e1lico","volume":"6","year":"2004","journal-title":"Rev. CEFAC"},{"key":"ref10","volume-title":"An\u00e1lise comparativa da degluti\u00e7\u00e3o no AVE agudo de tronco encef\u00e1lico e supratentorial"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1590\/S0100-39842004000100004","article-title":"Estudo cl\u00ednico e videofluorosc\u00f3pico da disfagia na fase subaguda do acidente vascular encef\u00e1lico","volume":"37","year":"2004","journal-title":"Radiol Bras"},{"key":"ref12","first-page":"385","volume-title":"Fisioterapia avalia\u00e7\u00e3o e tratamento, 2\u00aa ed","year":"1993"},{"key":"ref13","volume-title":"Cuidados intensivos de enfermagem: uma abordagem hol\u00edstica, 6\u00aa ed","year":"1997"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1056\/NEJM200103013440908","article-title":"Aspiration pneumonitis and aspiration pneumonia","volume":"344","year":"2001","journal-title":"N Engl J Med"},{"key":"ref15","first-page":"102260","article-title":"Food and nutrition misinformation: position of ADA","year":"2002","journal-title":"J Am Diet Assoc"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.apmr.2004.11.049","article-title":"Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients","volume":"86","year":"2005","journal-title":"Am J Phys Med Rehab"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/BF02414429","article-title":"Fiberoptic endoscopic examination of swallowing safety: a new procedure","volume":"2","year":"1988","journal-title":"Dysphagia"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/BF00417897","article-title":"A penetration aspiration scale","volume":"11","year":"1996","journal-title":"Dysphagia"},{"key":"ref19","volume-title":"Identifica\u00e7\u00e3o de fatores preditivos de pneumonia aspirativa em pacientes hospitalizados com doen\u00e7a cerebrovascular complicada por disfagia orofar\u00edngea"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1161\/01.STR.0000190056.76543.eb","article-title":"Dysphagia after stroke: Incidence, diagnosis and pulmonary complications","volume":"36","year":"2005","journal-title":"Stroke"},{"key":"ref21","first-page":"147","article-title":"Mudando a face da reabilita\u00e7\u00e3o neurol\u00f3gica","volume":"10","year":"2006","journal-title":"Rev Bras Fisioter"},{"key":"ref22","volume-title":"Disfagia neurog\u00eanica em adultos p\u00f3s-acidente vascular encef\u00e1lico: identifica\u00e7\u00e3o e classifica\u00e7\u00e3o"},{"key":"ref23","volume-title":"Frequ\u00eancia e fatores relacionados \u00e0 disfagia orofar\u00edngea ap\u00f3s acidente vascular encef\u00e1lico"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1590\/S1516-18462010000100010","article-title":"Protocolo para controle de efic\u00e1cia terap\u00eautica em disfagia orofar\u00edngea neurog\u00eanica (PROCEDON)","volume":"12","year":"2010","journal-title":"Rev. CEFAC"},{"key":"ref25","first-page":"372","article-title":"Swallowing disorders in persons with cerebrovascular accident","volume":"66","year":"1985","journal-title":"Arch Phys Med Rehabil"},{"key":"ref26","volume-title":"Neurologic diseases affecting oropharingeal swallowing","year":"1997"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1177\/000348949610500202","article-title":"Supraglottic and pharyngeal sensory abnormalities in stroke patients with dysphagia","volume":"105","year":"1996","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s004550010001","article-title":"Pneumonia in stroke patients: a retrospective study","volume":"15","year":"2000","journal-title":"Dysphagia"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.7162\/S1809-97772012000300003.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T10:35:02Z","timestamp":1705574102000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.7162\/S1809-97772012000300003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7]]},"references-count":28,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2013,12,5]]},"published-print":{"date-parts":[[2012,7]]}},"URL":"https:\/\/doi.org\/10.7162\/s1809-97772012000300003","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7]]}}}