Abstract
A traumatic brain injury (TBI) can lead to problems with cognition, behavior, and physical functions, with each domain playing a crucial role in swallowing. Normal control of swallowing requires appropriate integration of the brainstem, basal ganglia, thalamus, limbic system, cerebellum, and the motor and sensory nerves (Fig. 31.1).1 These systems work together to control afferent/efferent, anticipatory/preparatory, and voluntary/automatic processes in the more than 30 muscles involved in swallowing cortices (Fig. 31.2).1, 2 One of the most common challenges faced by clinicians in TBI patients is dysphagia.3.
Original language | English (US) |
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Title of host publication | Brain Injury Medicine |
Subtitle of host publication | Board Review |
Publisher | Elsevier |
Pages | 219 and 226.e2 |
ISBN (Electronic) | 9780323653855 |
DOIs | |
State | Published - Jan 1 2020 |
Keywords
- Aspiration
- Dysphagia
- Fiber optic endoscopic evaluation
- Manometry
- Neuromuscular electrical stimulation
- Phases of swallowing
- Videofluorographic swallowing study
ASJC Scopus subject areas
- General Medicine