• 作者：Aitor Santi Franco Arizaga^a ; Miguel Á ; ngel Escalante Boleas^b ; Raquel Dí ; az De Tudanca^c ; Ricardo Franco Vicario^b ; ^{ricardo.francovicario@osakidetza.net}
• 关键词：Traumatismo craneoencef&aacute ; lico ; Disfagia ; Videofluoroscopia ; Maniobras deglutorias ; Ejercicios de trabajo motor ; Resonancia magn&eacute ; tica cerebral funcional
• 刊名：Gaceta M茅dica de Bilbao
• 出版年：2012
• 期刊代码：pca165_03044858
• 类别：med
• 出版时间：July-September, 2012
• 卷：109
• 期：3
• 页码：113-117
• 文件大小：179 K

Traumatic brain injury is the first cause of death in persons younger than 45 years in Spain. Swallowing disorders are common in the initial phase of a severe traumatic brain injury. The incidence of dysphagia varies between 25 and 61%of patients and the prognosis depends on correct evaluation and early and appropriate treatment. The outcome of dysphagia depends on a low score in the Rancho Los Amigos Cognitive Scale and the Glasgow Coma Scale, orotracheal intubation and the presence of tracheostomy. The most widely used instrumental assessment tool for the diagnosis of dysphagia is videofluoroscopy. This procedure consists of swallowing a variety of liquids and foods mixed with barium. Swallowing maneuvres and oral motor exercises are useful in the rehabilitation of swallowing. Functional magnetic resonance imaging of the brain shows the cortical areas that are activated during the application of rehabilitation treatment.