A 46 year old lady complaining of difficulty in swallowing food since last 4 5 years
Had visited many doctors.all blood tests including CT thorax; abdomen; brain; UGIEndoscopy were normal.Thyroid/LFT/RFT were within normal limits
She was ultimately thought to be hysterical/functiona and
even had psychiatry consultations.
A dynamic barium study done under IITV however revealed tertiary contractions( C waves)during active swallowing and was then diagnosed to be suffering from NM inco-ordination.
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