Article

A 74-yr-old man developed left hemiplegia because of a right middle cerebral
artery territory infarction and also had clinical features of dysphagia and
speech difficulty. At that time, he complained of neck pain, but the symptom was
ignored because he had a nasogastric tube and had been diagnosed with a huge
epiglottic cyst that had already shown several symptoms such as severe hoarseness
and throat discomfort. A videofluoroscopic swallowing study was planned to find
out the cause and the type of dysphagia. On the videofluoroscopic swallowing
study, a foreign body was found at the hypopharynx. Surprisingly, it was
confirmed as a denture. After removing the denture, the patient's swallowing and
speech difficulty were significantly improved. This case emphasizes the need for
elderly stoke patients presenting with dysphagia or communication problems to
receive more careful history taking and a more complete physical examination,
with the cooperation of several clinical departments.

Langue : ANGLAIS