The Effectiveness of Transcranial Magnetic Stimulation in Post-stroke Dysphagia: A Case Report
DOI:
https://doi.org/10.20961/magnaneurologica.v2i1.942Keywords:
dysphagia, post-stroke, stimulation, TMS, transcranial magnetic stimulationAbstract
Background: A 72-year-old male, experiencing dysphagia and left-sided weakness for six months post-stroke, encountered challenges such as coughing and choking during the consumption of liquids and soft foods, along with a prolonged meal-swallowing process. Bilateral thrombotic infarction and left lateralization were revealed through Magnetic Resonance Imaging (MRI).
Case: The Gugging Swallowing Screening Scale (GUSS) assessment demonstrated severe impairment with a total score of 7, persisting despite conventional physiotherapy attempts to improve swallowing function. Subsequently, repetitive transcranial magnetic stimulation (rTMS) was implemented, involving high-intensity stimulation in the ipsilesional hemisphere and low-intensity stimulation in the contralesional hemisphere. Remarkably, one month post-rTMS, the patient displayed significant progress, evidenced by an improved GUSS score of 15, indicating enhanced swallowing function.
Discussion: This case emphasizes the positive impact of bilateral rTMS hemispheric stimulation on post-stroke dysphagia. The strategic application of high-intensity ipsilesional and low-intensity contralesional stimulation emerged as an effective intervention for alleviating swallowing difficulties. These findings highlight the potential of rTMS as an innovative therapeutic approach for persistent dysphagia following a stroke.
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Copyright (c) 2024 Suska Lara Ginting, Yetty Hambarsari, Rivan Danuaji, Baarid Luqman Hamidi
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
