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From the Audiology/Speech Pathology Service (Dr. Horner), Veterans Administration Medical Center, and the Department of Surgery, and Center for the Study of Aging and Human Development (Dr. Horner), and the Division of Neurology, Department of Medicine (Dr. Massey), Duke University Medical Center, Durham, NC.
Neurogenic dysphagia following stroke is not limited to brainstem involvement. Among 21 patients with stroke, one-third demonstrated only unilateral signs. In eight patients with silent aspiration, less subjective complaints, weaker cough, and dysphonia occurred more often. Videofluoroscopy must be used liberally in unilateral and bilateral strokes.
Address correspondence and reprint requests to Dr. Horner, Audiology/Speech Pathology Service (126), Veterans Administration Medical Center, 508 Fulton Street, Durham, NC 27705.
Presented in part at the thirty-eighth annual meeting of the American Academy of Neurology, New Orleans, LA, April 1986.
Received March 19, 1987. Accepted for publication in final form May 7, 1987.
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