The difference between psychogenic and neurodegenerative dysphagia – demographics and treatment options

Groot, Jens de (2023) The difference between psychogenic and neurodegenerative dysphagia – demographics and treatment options. Master's Thesis / Essay, Biology.

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Abstract

Psychogenic dysphagia (PD) is an illness that has psychological causes. 60.2% of psychogenic patients is female. Comorbidity is frequently seen (31.6%). The precipitating cause is often a choking event (60.2%). PD can occur at all ages, with a peak in early adolescence. Weight loss can be up to one third of the initial weight. PD can last for years or more than a decade. Its duration until hospital admission is negatively correlated with weight loss rate. Relative weight loss is positively correlated with duration of disease. The best medicinal treatment options are antidepressants and anxiolytics. The best behavioral treatment options are EMDR and CBT. On the other hand, we have neurogenic dysphagia (ND). A vast body of literature shows that ND often occurs in Parkinson’s disease. Tongue pumping and penetration or aspiration are the most serious problems that Parkinson patients seem to encounter during swallowing. A major underlying biological factor of these swallowing problems is the degeneration of cranial nerves that control swallowing mechanisms. EMST and supraglottic swallowing techniques seem to improve some of the swallowing issues in these patients. Both diseases seem to show facial similarities. Brain studies demonstrate that both illnesses show shifts in brain activities towards frontal and parietal lobes. These changes possibly represent changes in the salience network in both PD and (early-stage) ND.

Item Type:	Thesis (Master's Thesis / Essay)
Supervisor name:	Eisel, U.L.M.
Degree programme:	Biology
Thesis type:	Master's Thesis / Essay
Language:	English
Date Deposited:	24 Jul 2023 07:27
Last Modified:	24 Jul 2023 07:27
URI:	https://fse.studenttheses.ub.rug.nl/id/eprint/30825

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