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29 Dysphagia in Huntington's disease – a course analysis

Published online by Cambridge University Press:  24 June 2014

Karin M. Reisinger ,
Walter Habermann  and
Hans-Peter Kapfhammer
Karin M. Reisinger
Affiliation:
Universitätsklinik für Psychiatrie, LKH Graz, Auenbruggerplatz 31, 8010 Graz, Austria, E-mail: karin.reisinger@klinikum-graz.at
Walter Habermann
Affiliation:
Universitätsklinik für Psychiatrie, LKH Graz, Auenbruggerplatz 31, 8010 Graz, Austria, E-mail: karin.reisinger@klinikum-graz.at
Hans-Peter Kapfhammer
Affiliation:
Universitätsklinik für Psychiatrie, LKH Graz, Auenbruggerplatz 31, 8010 Graz, Austria, E-mail: karin.reisinger@klinikum-graz.at
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Abstract

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Type
Posters – Neurology
Information
Acta Neuropsychiatrica , Volume 21 , Issue S2: Special Issue: Abstracts of 49th Neuropsychiatric Pula Congress, 17-20 June 2009, Pula, Croatia , June 2009 , pp. 81 - 82
Copyright
Copyright © 2009 John Wiley & Sons A/S

Introduction/Objectives:

Chorea Huntington (HD) is a neurodegenerative genetic disorder with psychiatric symptoms. The most patients die because of aspiration pneumonia which is the follow of dysphagia.

Participants, Materials/Methods:

In our study we want to investigate the qualitative and temporal course of dysphagia in HD patients.

It is a prospective cohort study. Two blind clinical investigators evaluate the deglutition with an ordinal scale. The investigator divides the deglutition in an oral, pharyngeal and oesophageal part. For HD staging we use the Shoulson's clinical stages. For statistic analysis we use the Spearman SPSS.

Results:

We found a significant correlation between stage of illness and the whole oral phase of deglutition and between bolus passages of oesophageal phase. There is a correlation between days of illness and the oral phase and penetration of pharyngeal phase of deglutition.

Conclusions:

In future it will be important that HD patients get a speech therapy .Deglutition has a high protective factor for neurological disorders. Because of the early dysfunction in the oral phase malnutrition is a big problem for HD patients.