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Pract Neurol doi:10.1136/practneurol-2012-000441
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Progressive dysphagia without dysarthria

  1. Martin R Turner3
  1. 1Department of Neurology, John Radcliffe Hospital, Oxford, UK
  2. 2Department of Neurosurgery, John Radcliffe Hospital, Oxford, UK
  3. 3Nuffield 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
  • Received 1 October 2012
  • Revised 10 November 2012
  • Accepted 8 December 2012
  • Published Online First 13 March 2013

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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