Aktuelle Neurologie 2009; 36 - M93
DOI: 10.1055/s-0029-1238356

Diagnostik, Therapie und Management bei Schluckstörungen nach Schlaganfall

A Riecker 1
  • 1Ulm

Dysphagia is common following stroke and is associated with the development of pneumonia. Many dysphagia treatment options are available, some still experimental and others already rooted in common practice. Previous reviews of these treatments were limited due to a dearth of available studies. Recently, more trials have been published warranting a re-examination of the evidence. A systematic review of some randomised controlled trials, updating previous work and evaluating a broader range of therapeutic interventions intended for use in adults recovering from stroke and dysphagia. Across studies, results of similar treatments and outcomes were compared and evaluated. Descriptively these findings present emerging evidence that nasogastric tube feeding is not associated with a higher risk of death compared to percutaneous feeding tubes; and general dysphagia therapy programmes are associated with a reduced risk of pneumonia in the acute stage of stroke. Taken together, dysphagia is known to be a common and potentially serious complication of stroke. Here, we display the diagnostic steps and the therapeutic options to prevent complications due to dysphagia after stroke.