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Journal of Case Reports
Dysphagia: Solitary Symptom of a Patient with Wallenberg’s Syndrome; A Diagnostic Dilemma

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Muhammad Bilal Abid1, Muhammad Abbas Abid2, George Pujalte3, Rana Raheel Hafeez4
From Aga Khan University, Karachi, Pakistan1; Sindh Medical College,
Dow University of Health Sciences, Karachi, Pakistan2; Penn State Hershey
Medical Center, Hershey, PA, USA3; Civil Hospital Karachi, Karachi, Pakistan4.
Corresponding Author:
Dr. Muhammad Bilal Abid
Email: mbilal.abid@gmail.com
Received: 12-DEC-2012 Accepted: 08-JAN-2013 Published Online: 05-JAN-2013
DOI: http://dx.doi.org/10.17659/01.2013.0001
Abstract
We report a case of lateral medullary syndrome (LMS) presenting with the sole symptom of dysphagia. Dysphagia is a fairly common symptom of LMS but to our knowledge, dysphagia presenting as the only presenting symptom for a brainstem infarction is rare. This type of clinical presentation can mimic quite a diverse variety of upper gastrointestinal tract and otorhinolaryngological pathologies, leading to unnecessary diagnostic workup. This case highlights the importance of keeping a high index of suspicion for central causes of dysphagia, specifically in the absence of other localizing signs and symptoms.
Keywords : Lateral Medullary syndrome, Deglutition Disorders, Brainstem Infarctions, Upper Gastrointestinal Tract.
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