Neurol. praxi. 2025;26(1):81-84 | DOI: 10.36290/neu.2024.075

Dysphagia as one of the initial symptoms of multiple sclerosis in young patients

MUDr. Iva Šrotová, Ph.D.1, 2, 3, Mgr. Naděžda Lasotová, MBA1, 2, MUDr. Marcela Dubová4, MUDr. Jan Kočica, Ph.D.1, 3, MUDr. Zuzana Pazdičová5
1 Neurologická klinika Fakultní nemocnice Brno
2 Katedra speciální a inkluzivní pedagogiky, Pedagogická fakulta Masarykovy univerzity Brno
3 Lékařská fakulta Masarykovy univerzity Brno
4 Oddělení ORL Fakultní nemocnice Brno
5 Klinika radiologie a nukleární medicíny Fakultní nemocnice Brno

Multiple sclerosis is a chronic autoimmune disease affecting the central nervous system (CNS) and is characterized by inflammation, demyelination, gliosis, and neuronal loss. This condition manifests with a wide range of neurological symptoms, such as vision impairment, numbness and tingling, focal weakness, bladder and bowel dysfunction, and cognitive impairment. Swallowing disorders are among the symptoms that may be somewhat neglected but nevertheless greatly affect quality of life and overall health. Multiple sclerosis most often affects young adults aged 20-40 years. The disease is 2 to 3 times more common in women than in men. In this video case report, we present a young patient in whom dysphagia was one of the first symptoms of MS. In the case report, we describe the diagnosis of dysphagia and the subsequent complex therapeutic approach, which included both therapy for MS and targeted regular speech therapy.

Keywords: multiple sclerosis, dysphagia.

Received: September 30, 2024; Revised: November 18, 2024; Accepted: November 18, 2024; Prepublished online: November 18, 2024; Published: March 19, 2025  Show citation

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Šrotová I, Lasotová N, Dubová M, Kočica J, Pazdičová Z. Dysphagia as one of the initial symptoms of multiple sclerosis in young patients. Neurol. praxi. 2025;26(1):81-84. doi: 10.36290/neu.2024.075.

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References

  1. Aghaz A, Alidad A, Hemmati E et al. Prevalence of dysphagia in multiple sclerosis and its related factors: Systematic review and meta-analysis. Iran J Neurol. 2018;17(4):180-188. PMID: 31210903; PMCID: PMC6555886.
  2. Ansari NN, Tarameshlu M, Ghelichi L. Dysphagia In Multiple Sclerosis Patients: Diagnostic And Evaluation Strategies. Degener Neurol Neuromuscul Dis. 2020;10:15-28. doi: 10.2147/DNND.S198659. Go to original source... Go to PubMed...
  3. Hegen H, Bsteh G, Wipfler P, et al. Diagnostic value of kappa free light chain index in patients with primary progressive multiple sclerosis: a multicentre study. Front Immunol. 2023;14:1327947. doi:10.3389/fimmu.2023.1327947. Go to original source... Go to PubMed...
  4. Kocica J, Lasotova N, Kolcava J, et al. Screening for dysphagia in patients with relapsing-remitting multiple sclerosis. Mult Scler Relat Disord. 2024;83:105418. doi: 10.1016/j.msard.2023.105418. Epub 2024 Jan 5. PMID: 38262330. Go to original source... Go to PubMed...
  5. Novotná K, Motýl J, Friedová L, et al. Validation of the Czech Version of the Dysphagia in Multiple Sclerosis Questionnaire (DYMUS). Dysphagia. 2023;38(4):1087-1095. doi: 10.1007/s00455-022-105305. Go to original source...
  6. Rosenstein I, Axelsson M, Novakova L, et al. Intrathecal kappa free light chain synthesis is associated with worse prognosis in relapsing-remitting multiple sclerosis. J Neurol. 2023;270(12):4800-4811. doi:10.1007/s00415-023-11817-9. Go to original source... Go to PubMed...
  7. Roubíčková J, Hedánek J, Stráník A. Test 3F. Dysartrický profil (3. doplněné a přepracované vydání). Galén. 2018. 45s.
  8. Tedla M, Černý M, Chrobok V. Poruchy polykání = Poruchy prehĺtania (2. aktualizované vydání). 2018. Tobiáš. 102s.
  9. Thompson AJ, Banwell BL, Barkhof F, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17(2):162-173. doi: 10.1016/S1474-4422(17)30470-2. Go to original source... Go to PubMed...
  10. Wiesner W, Wetzel SG, Kappos L, et al. Swallowing abnormalities in multiple sclerosis: correlation between videofluoroscopy and subjective symptoms. Eur Radiol. 2002;12(4):789-92. doi: 10.1007/s003300101086. Go to original source... Go to PubMed...




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