Silent aspiration in Parkinson's disease patients with diurnal sialorrhea.
OBJECTIVE
We studied the frequency of silent laryngeal penetration or silent aspiration (SLP/SA) in Parkinson's disease (PD) patients with diurnal sialorrhea.


METHODS
In 19 consecutive PD patients with diurnal sialorrhea, swallow was evaluated using the videofluoroscopy analysis. Data were analysed to determine the frequency of aspiration and its relationship with the severity of sialorrhea.


RESULTS
All patients were classified in the Hoehn and Yahr stages between 2 and 5. SLP/SA was observed in 21% of patients and the score of sialorrhea in the group with SLP/SA was 8.0+/-0.81, while in the group with no SLP/SA was 6.46+/-1.06 (p=0.02).


CONCLUSIONS
SLP/SA is a frequent morbidity in PD patients, its risk is higher in later stages of disease and in those patients with severe sialorrhea. However, prospective and controlled studies of follow up will be necessary to determine the prognosis and management in this group of patients.
Nóbrega
Ana Caline
AC
Division of Neurology and Epidemiology, Federal University of Bahia, Brazil.
Rodrigues
Bernardo
B
Melo
Ailton
A
D000368:Aged; D000369:Aged, 80 and over; D002940:Circadian Rhythm; D015331:Cohort Studies; D003679:Deglutition / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications* / Q000503:physiopathology; D053120:Respiratory Aspiration / Q000453:epidemiology* / Q000503:physiopathology; D012307:Risk Factors; D012720:Severity of Illness Index; D012798:Sialorrhea / Q000150:complications* / Q000503:physiopathology