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Department of Surgery, and Center for Aging and Human Development, Duke University (Dr. Horner); and the Division of Neurology, Department of Medicine (Dr. Massey), and the Department of Surgery (Drs. Horner and Riski, Mrs. Lathrop, and Mrs. Chase), Duke University Medical Center, Durham, NC.
Among 47 patients with stroke evaluated clinically and videofluoroscopically, one-half aspirated. Patients with combined cerebral-brainstem strokes with bilateral cranial nerve signs were at greatest risk, but aspiration also occurred in the context of unilateral signs. Dysphonia was the common clinical characteristic of aspirating patients. Single chest roentgenograms were of limited value in predicting aspiration. Outcome was favorable following compensatory oral feeding programs.
Address correspondence and reprint requests to Dr. Horner, Department of Surgery, Box 3887, Duke University Medical Center, Durham, NC 27710.
Presented in part at the thirty-ninth annual meeting of the American Academy of Neurology, New York, NY, April 1987.
Received December 17, 1987. Accepted for publication in final form January 28, 1988.
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