Management of neurogenic dysphagia

Dysphagia is common in patients with neurological disorders. It may result from lesions in the central or peripheral nervous system as well as from diseases of muscle and disorders of the neuromuscular junction. Drugs that are commonly used in the management of neurological conditions may also precipitate or aggravate swallowing difficulties in some patients. Neurogenic dysphagia often results in serious complications, including pulmonary aspiration, dehydration, and malnutrition. These complications are usually preventable if the dysphagia is recognised early and managed appropriately.