Pneumonia in Parkinson's disease: barium aspiration in videofluoroscopic swallowing study

Kwang-Hwa Chang; Yu-Tien Tzeng; Jing-Hwa Wey; Yuan-Jun Liu; Yen-Nung Lin; Wen-Kuei Chung

doi:10.1002/rcr2.546

Pneumonia in Parkinson's disease: barium aspiration in videofluoroscopic swallowing study

Respirol Case Rep. 2020 Mar 1;8(3):e00546. doi: 10.1002/rcr2.546. eCollection 2020 Apr.

Authors

Kwang-Hwa Chang^{1

2

3}, Yu-Tien Tzeng⁴, Jing-Hwa Wey^{1

3}, Yuan-Jun Liu^{1

3}, Yen-Nung Lin^{1

2

3}, Wen-Kuei Chung^{1

3

5}

Affiliations

¹ Department of Physical Medicine and Rehabilitation, Wan Fang Hospital Taipei Medical University Taipei Taiwan.
² Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition Taipei Medical University Taipei Taiwan.
³ Taipei Neurological Institute Taipei Medical University New Taipei City Taiwan.
⁴ Division of Pulmonary Medicine, Department of Internal Medicine, Wan Fang Hospital Taipei Medical University Taipei Taiwan.
⁵ Department of Neurosurgery, Wan Fang Hospital Taipei Medical University Taipei Taiwan.

Abstract

Barium aspiration into the tracheobronchial tree is a remarkable warning sign of dysphagia-related aspiration pneumonia. Clinical swallowing assessment is warranted for patients with aspiration pneumonia and videofluoroscopic swallowing study is a good add-on tool for dysphagia treatment plan. In patients with Parkinson's disease, dysphagia is often overlooked due to atypical presentations.

Keywords: Aspiration; Parkinson's disease; dysphagia; pneumonia; videofluoroscopic swallowing study.