Simone Miller

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The upper esophageal sphincter (UES) forms a barrier between the pharynx and the esophagus. When closed, the barrier function serves to prevent reflux and aerophagia; when open, swallowing, belching and vomiting are possible. The closing muscles include caudal parts of the inferior pharyngeal sphincter and cranial parts of the upper esophagus musculature.(More)
OBJECTIVE After swallowing, the upper esophageal sphincter (UES) needs a certain amount of time to return from maximum pressure to the resting condition. Disturbances of sphincter function not only during the swallowing process but also in this phase of pressure restitution may lead to globus sensation or dysphagia. Since UES pressures do not decrease in a(More)
The laryngeal adductor reflex and the pharyngoglottal closure reflex protect the trachea and lower respiratory tract against the entrance of foreign material. The laryngeal expiration reflex and the cough reflex serve to propel foreign material, which has penetrated in the cranial direction. The inspiration reflex, the sniff reflex, and the swallowing(More)
We present an unusual case of low pressure headaches in a patient with Marfan's Syndrome caused by a giant anterior sacral meningocele. The patient, a lady with Marfan's Syndrome and previous cardiac and ocular complications, presented initially with recurrent postural headaches, worse on standing, occurring over a 5 year period. During these periods she(More)
Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, painless method used to stimulate areas of the brain through the intact skull by means of magnetic fields. Depending on the stimulation frequency, the effect on concurrent brain areas is either inhibiting or exciting. As a result, it should be possible to inhibit compensatory(More)
A prolonged phase of increased pressure in the upper esophageal sphinc-ter (UES) after swallowing might result in globus sensation. Therefore, it is important to evaluate restitution times of the UES in order to distinguish physiologic from impaired swallow associated activities. Estimating the event t where the UES has returned to its resting pressure(More)
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