The Effectiveness of Transcranial Magnetic Stimulation in Post-stroke Dysphagia: A Case Report

Authors

  • Suska Lara Ginting H Adam Malik General Hospital Medan
  • Yetty Hambarsari Departement of Neurology, Faculty of Medicine, Universitas Sebelas Maret
  • Rivan Danuaji Departement of Neurology, Faculty of Medicine, Universitas Sebelas Maret
  • Baarid Luqman Hamidi Departement of Neurology, Faculty of Medicine, Universitas Sebelas Maret

DOI:

https://doi.org/10.20961/magnaneurologica.v2i1.942

Abstract

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.

Keywords:

dysphagia, post-stroke, stimulation, TMS, transcranial magnetic stimulation

Downloads

Published

2024-01-01

How to Cite

Ginting, S. L., Hambarsari, Y. ., Danuaji, R. ., & Hamidi, B. L. . (2024). The Effectiveness of Transcranial Magnetic Stimulation in Post-stroke Dysphagia: A Case Report. Magna Neurologica, 2(1), 29–33. https://doi.org/10.20961/magnaneurologica.v2i1.942

Issue

Vol. 2 No. 1 (2024): January

Section

Articles

License

Copyright (c) 2024 Suska Lara Ginting, Yetty Hambarsari, Rivan Danuaji, Baarid Luqman Hamidi

Creative Commons License

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/).