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Case Reports
. 2009 Feb;52(1):59-65.
doi: 10.1016/j.rehab.2008.11.003. Epub 2009 Feb 13.

Sudden dysphagia in an elderly, quadriparetic patient

[Article in English, French]
J-F Kaux  1 , F Ongena, F Wang, J-M Crielaard, M Foidart-Dessalle
Affiliations
Free article
Case Reports

Sudden dysphagia in an elderly, quadriparetic patient

[Article in English, French]
J-F Kaux et al. Ann Phys Rehabil Med. 2009 Feb.
Free article

Abstract

Clinical case: We report the case of a 92-year-old quadriparetic patient who suddenly presented a major swallowing disorder following trauma to the neck. A diagnosis of myasthenia gravis was suggested by single-fibre EMG of the extensor digitorum communis muscle. In view of the continued absence of dysphagia after 6 months of pyridostigmine treatment, this diagnosis was considered as definitive.

Discussion: We review the various characteristics of myasthenia gravis and ways of investigating dysphagia.

Conclusion: It is important to be aware of and investigate all the direct and indirect signs of dysphagia and establish the exact aetiology in order to provide the best possible treatment.

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