Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series

dc.creatorCaroline Matavelli Castelarduarte
dc.creatorNaiany Nascimento da Silva Figueiredo
dc.creatorRomeu Vale Sant´anna
dc.creatorTatiana Simões Chaves
dc.creatorAline Mansueto Mourão
dc.date.accessioned2025-01-10T19:59:29Z
dc.date.accessioned2025-09-08T22:53:57Z
dc.date.available2025-01-10T19:59:29Z
dc.date.issued2023
dc.format.mimetypepdf
dc.identifier.doi10.1590/1982-0216/20232529722
dc.identifier.issn19820216
dc.identifier.urihttps://hdl.handle.net/1843/79142
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista CEFAC
dc.rightsAcesso Aberto
dc.subjectDecompressive Craniectomy
dc.subjectDeglutition Disorders
dc.subjectSpeech, Language and Hearing Sciences
dc.subjectDeglutition
dc.subjectIschemic Stroke
dc.subjectNeurology
dc.subject.otherDecompressive Craniectomy
dc.subject.otherDeglutition
dc.subject.otherDeglutition Disorders
dc.subject.otherIschemic Stroke
dc.subject.otherSpeech, Language and Hearing Sciences
dc.subject.otherNeurology
dc.titleClinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series
dc.typeArtigo de periódico
local.citation.epage9
local.citation.issue2
local.citation.spage1
local.citation.volume25
local.description.resumoThis study aimed to characterize clinical-neurological factors and the functional swallowing capacity of patients with malignant infarction submitted to decompressive craniectomy during the hospital stay. This retrospective, descriptive, observational study was conducted between January 2020 and December 2021. The following data regarding up to eight stages were extracted for descriptive analysis: age, location of the lesion, level of awareness according to the Glasgow Coma Scale, neurological impairment according to the National Institutes of Health Stroke Scale, and the functional swallowing capacity according to the Functional Oral Intake Scale. Data on 昀椀ve patients were collected, with a mean of 0.2 days for the 昀椀rst neurological assessment. Decompressive craniectomy was performed in a mean of 2 days after admission. The speech-language-hearing assessment occurred in a mean of 8.2 days, and the speech-language-hearing discharge took a mean of 35.4 days. The neurological impairment score remained the same as in the 昀椀rst neurological assessment after decompressive craniectomy, with a mean score of 16.6. The functional swallowing capacity was the same in the first assessment after decompressive craniectomy, on FOIS level 1, improving considerably by the discharge, with amean level of 4.8. It is concluded that clinical-neurological factors can interfere with the functional swallowing capacity, although they did not hinder either speech-language-hearing treatment or their evolution to a full oral diet during the hospital stay.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE FONOAUDIOLOGIA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/1982-0216/20232529722

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