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Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryCurrent TOCInstructions for authors
J Neurol Neurosurg Psychiatry. Feb 1989; 52(2): 236–241.
PMCID: PMC1032512

The natural history and functional consequences of dysphagia after hemispheric stroke.


Data from 357 conscious stroke patients taking part in an acute intervention trial and assessed within 48 hours of the onset of symptoms, were used to investigate the prevalence and natural history of swallowing problems. Nearly 30% of patients with single-hemisphere strokes were initially found to have difficulty swallowing a mouthful of water, but in most of those who survived, the deficit had resolved by the end of the first week. Strong correlations were found between dysphagia and speech impairment (comprehension and expression) and with facial weakness, but there was no association with the side of the stroke. After controlling for other markers of overall stroke severity such as conscious level, urinary continence, white blood cell count and strength in the affected limbs, swallowing impairment still showed a significant inverse correlation with functional ability at 1 and 6 months. These results indicate that, even if dysphagia itself is not responsible for much excess mortality in acute stroke, it might still lead to complications which hamper functional recovery.

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Selected References

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  • Willoughby EW, Anderson NE. Lower cranial nerve motor function in unilateral vascular lesions of the cerebral hemisphere. Br Med J (Clin Res Ed) 1984 Sep 29;289(6448):791–794. [PMC free article] [PubMed]
  • Barer DH. Lower cranial nerve motor function in unilateral vascular lesions of the cerebral hemisphere. Br Med J (Clin Res Ed) 1984 Dec 08;289(6458):a1622–1622. [PMC free article]
  • Veis SL, Logemann JA. Swallowing disorders in persons with cerebrovascular accident. Arch Phys Med Rehabil. 1985 Jun;66(6):372–375. [PubMed]
  • Horner J, Massey EW. Silent aspiration following stroke. Neurology. 1988 Feb;38(2):317–319. [PubMed]
  • Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. Br Med J (Clin Res Ed) 1987 Aug 15;295(6595):411–414. [PMC free article] [PubMed]
  • Barer DH. Dysphagia in acute stroke. Br Med J (Clin Res Ed) 1987 Oct 31;295(6606):d1137–1138. [PMC free article]
  • Barer DH, Cruickshank JM, Ebrahim SB, Mitchell JR. Low dose beta blockade in acute stroke ("BEST" trial): an evaluation. Br Med J (Clin Res Ed) 1988 Mar 12;296(6624):737–741. [PMC free article] [PubMed]
  • Barer DH, Ebrahim SB, Mitchell JR. The pragmatic approach to stroke trial design: stroke register, pilot trial, assessment of neurological then functional outcome. Neuroepidemiology. 1988;7(1):1–12. [PubMed]
  • Ebrahim S, Nouri F, Barer D. Measuring disability after a stroke. J Epidemiol Community Health. 1985 Mar;39(1):86–89. [PMC free article] [PubMed]
  • Ozaita G, Calandre L, Peinado E, Rodríguez-Antigüedad A, Bermejo F. Hematocrit and clinical outcome in acute cerebral infarction. Stroke. 1987 Nov-Dec;18(6):1166–1168. [PubMed]

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