A novel approach using acupuncture for dysphagia after brainstem stroke: A CARE-compliant case report

Background

Dysphagia is a common sequela of brainstem stroke, often leading to complications such as aspiration pneumonia and malnutrition. Traditional rehabilitation methods may not be effective for all patients, necessitating alternative therapeutic approaches. Herein, we report a case of acupuncture for dysphagia after brainstem stroke.

Case description

In this report, we describe a 61-year-old male patient with persistent dysphagia, aspiration during water intake, and hoarseness following acute brainstem infarction. Despite undergoing thrombolysis and rehabilitation, his swallowing function remained unimproved. A videofluoroscopic swallowing study (VFSS) demonstrated substantial barium residue in bilateral valleculae and pyriform sinuses with significant aspiration. The patient received 14 days of acupuncture therapy, combining electrical stimulation at primary acupoints in the cephalocervical region with rapid needling techniques at extraordinary points in the cervical area. Post-treatment evaluation revealed remarkable improvement in swallowing function with complete resolution of aspiration, enabling nasogastric tube removal. Three-month follow-up confirmed sustained normal swallowing function without recurrence.

Conclusion

The innovative acupuncture treatment regimen we proposed may be a promising therapeutic option for dysphagia after brainstem stroke.