-Case Reports-

Excision of Zenker's Diverticulum to Treat Dysphagia Associated with Acute-phase Cerebral Infarction

Arata Abe, Mina Harada-Abe, Yohei Takayama, Yusuke Toda, Masayuki Ueda and Yasuo Katayama

Department of Neurological Science, Graduate School of Medicine, Nippon Medical School

A 75-year-old man was admitted to our hospital with dysphagia shortly after the onset of a brainstem infarction. Videofluorography indicated the presence of a Zenker's diverticulum with a bolus at the esophageal orifice; endoscopy 5 years earlier had not shown a Zenker's diverticulum and suggests that the diverticulum had formed because of an increase in the hypopharyngeal pressure caused by the brainstem infarction. Surgical excision successfully facilitated transport of the bolus to the esophageal orifice. In the present report, we describe a case of dysphagia caused by a Zenker's diverticulum following and associated with a brain infarction.

J Nippon Med Sch 2014; 81: 164-167

Keywords
cerebral infarction, diverticulum, dysphagia

Correspondence to
Arata Abe, MD, PhD, Department of Neurological Science, Graduate School of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
abe@nms.ac.jp

Received, June 18, 2013
Accepted, August 19, 2013