About this trial
This study evaluates changes in swallowing using endoscopic swallowing studies and measuring of pharyngeal sensitivity, taste and smell in stroke patients. Younger (\<60 years) and older (\>60 years) volunteers will serve as control.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
informed consent
informed consent
new supratentorial stroke (<72 hours old) confirmed by CT (computed tomography) or MRI (magnetic resonance imaging)
Disqualifiers
pre-existing stroke oder dysphagia
extensive white matter lesions in CT- or MRI-scan
allergies to odorous substances or flavoring
contraindications for FEES (flexible endoscopic evaluation of swallowing), CT or MRI (stroke patients only)
Trial population
Stroke patients are recruited in a university hospital's department of neurology. Volunteers \>60years are recruited in a trauma surgery ward at the same university hospital. Volunteers \<60 are recruited without specified characteristics (aside from in-/exclusion criteria).
Trial design
Case-only
Prospective
Treatments tested in this trial
FEES (flexible endoscopic evaluation of swallowing)
Diagnostic testEndoscopical swallowing study in stroke patients only
Sensitivity threshold
Other interventionDetermining sensitivity threshold using a pudendal electrode
Taste-/smell-test
Diagnostic testTaste-/smell-test
Neuropsychological testing
Diagnostic testNeuropsychological testing for neglect, agnosia
Treatment groups
Trial outcomes
Primary outcomes
Dysphagia
Changes found in endoscopic swallowing study : Presence and severity of dysphagia (measured with Rosenbek's Penetration/Aspiration-scale)
Secondary outcomes
Neuropsychological deficits
Agnosia, neglect
Lesion site
Side, vascular territory, swallowing relevant structures
Sensitivity
Sensitivity of faucial pillar region
Taste/Smell
Smell-/Taste-score
Sponsors and contacts
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