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Clinical Rehabilitation
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Aspiration following stroke: is it related to the side of the stroke?

DG Smithard

Department of Geriatric Medicine, South Manchester University Hospitals NHS Trust

PA O'Neill

Department of Geriatric Medicine, South Manchester University Hospitals NHS Trust

DF Martin

Department of Radiology, South Manchester University Hospitals NHS Trust, Manchester

R. England

Department of Radiology, South Manchester University Hospitals NHS Trust, Manchester

Objective: To investigate the relationship between the side of stroke and the presence of aspiration on videofluoroscopy.

Design: Observational prospective study.

Subjects: Eighty-seven patients (50% female) admitted with an acute stroke to the University Hospital of South Manchester.

Methods: Patients admitted to the study underwent brain CT scanning and repeated videofluoroscopy.

Results: CT scanning was performed within a median three days (interquartile range 2-4 days) following stroke and videofluoroscopic (VF) examination (median 2, interquartile range 1-4 days following stroke) of their swallow. Seventeen (19.5%) patients were noted to be aspirating. There were no significant relationships at this time between side or site of lesion and the presence of aspiration. A second assessment was carried out at a median time of 29 days (interquartile range 26-45) following acute stroke. Nine of 69 (13.5%) patients were noted to be aspirating, seven of whom had right hemisphere lesions (p < 0.01).

Conclusions: Continuing aspiration may be related to the side of the cerebral lesion.

Clinical Rehabilitation, Vol. 11, No. 1, 73-76 (1997)
DOI: 10.1177/026921559701100111
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