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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 …
Contributors BRW: acquisition and interpretation of data. MRT: study concept and design, interpretation of data. All authors: critical revision of the manuscript.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Tom Hughes, Cardiff, UK.