Secondary Achalasia due to Injury of Vagus Nerve after Chest Trauma: A case report.

, Park, Ki Cheol; , Ryu, Ju Seok; , Kim, Min Young; , Kang, Jin Young; , Lee, Hak Il

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(5):603-606.

Park, Ki Cheol , Ryu, Ju Seok , Kim, Min Young , Kang, Jin Young , Lee, Hak Il

Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Korea. jseok337@cha.ac.kr

흉부 외상 후 발생한 미주신경 손상에 의한 속발성 식도 이완불능증 −증례 보고−

박기철, 류주석, 김민영, 강진영, 이학일

차의과학대학교 분당차병원 재활의학교실

Abstract

Achalasia is rare disorder with an estimated prevalence of 0.5∼1 per 100,000 per year and secondary achalasia due to trauma is rarer. The following case report describes a patient who developed achalasia after chest trauma. This report presents a 22 year-old male with chest trauma who had hoarseness and postprandial reflux. We suggested the achalasia through video-fluoroscopic swallowing study (VFSS), and confirmed superior and recurrent laryngeal neuropathies through laryngeal electromyography (EMG). VFSS and laryngeal EMG are helpful to diagnose the achalasia due to vagus nerve injury after chest trauma. (J Korean Acad Rehab Med 2010; 34: 603-606)

Key Words: Achalasia, Trauma, Laryngeal electromyography