Neuromuscular incoordination

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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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