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[Dysphagia] patient with a history of metastazing nasopharyngealcancer
I don't think the cancer site is the major factor here. I presume the
surgery sacrificed CN X at or close to the level of the brainstem -
which would affect the large distribution of the nerve. If there is no
transmission through this nerve, I would not expect that electrical stim
would affect any lasting benefit
Eric Dolinger, MA CCC-SLP
Senior Speech Pathologist
Christiana Care Health System
Phone 302-733-1015
Fax 302-733-1061
edolinger at christianacare.org
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of empbos at aol.com
Sent: Friday, April 06, 2007 5:53 PM
To: dysphagia at dysphagia.com
Subject: [Dysphagia] patient with a history of metastazing
nasopharyngealcancer
Hello,
I have a patient who has a history of nasopharyngeal CA which was
treated 9 years prior with radiation and chemo. Unfortunately, the CA
recurred and spread to the occipital area and was compressing the
brainstem. She had the tumor debulked during a craniotomy. It has been
expressed to me from ENT that they CN X is "shot". Recent VFSS prior to
the patient coming to the rehab unit demonstrated severe pharyngeal
dysphagia. Patient had a VFSS in 2005 which demonstrated a degree of
pharyngeal dysphagia, but nothing to the degree no being demonstrated
(likely secondary, in 2005, to the radiation.) ENT has assured me that
there is no metastasis of the CA below the nasopharyngeal area.
Question: If the swallowing severity is truly a result of CN X damage,
will VITALSTIM treatment have a shot of helping? Being that the CA is
contained above the level of electrode placement is there any risk of
further enhancing the CA?
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