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Progressive dysphagia without dysarthria
  1. Benjamin R Wakerley1,
  2. Katherine Warburton1,
  3. Puneet Plaha2,
  4. Stana Bojanic2,
  5. Matthew Jackson1,
  6. Martin R Turner3
  1. 1 Department of Neurology, John Radcliffe Hospital, Oxford, UK
  2. 2 Department of Neurosurgery, John Radcliffe Hospital, Oxford, UK
  3. 3 Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
  1. Correspondence to Dr Martin Turner, Department of Neurology, John Radcliffe Hospital, West Wing Level 3, Oxford, OX3 9DU, UK; martin.turner{at}ndcn.ox.ac.uk

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A 50-year-old woman was referred with a 6-month history of progressive dysphagia. On examination, there was no dysarthria. Her voice was initially ‘wet’ but improved with coughing and throat clearing. Palatal movement, pharyngeal sensation and tongue appearance were normal. Laryngoscopy was normal. MRI of the brain showed a type 1 Chiari malformation with brainstem compression (figure 1). Following …

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