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KMID : 1197720180110030129
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2018 Volume.11 No. 3 p.129 ~ p.132
Transfer Dysphagia Due to Focal Dystonia
Samal Priyanka

Goyal Vinay
Makharia Govind Kumar
Das Chandan J.
Gorthi Sankar Prasad
Vishnu V Y
Singh Mamta Bhushan
Srivastava M V Padma
Abstract
Objective: The inability to propel a bolus of food successfully from the posterior part of the oral cavity to the oropharynx is defined as transfer dysphagia. The present case series describes the varied presentation of transfer dysphagia due to focal dystonia and highlights the importance of early detection by following up on strong suspicions.

Methods: We describe seven cases of transfer dysphagia due to focal dystonia. Transfer dysphagia as a form of focal dystonia may appear as the sole presenting complaint or may present with other forms of focal dystonia.

Results: Four out of seven patients had pure transfer dysphagia and had previously been treated for functional dysphagia. A high index of suspicion, barium swallow including videofluoroscopy, associated dystonia in other parts of the body and response to drug therapy with trihexyphenidyl/tetrabenazine helped to confirm the diagnosis.

Conclusion: Awareness of these clinical presentations among neurologists and non-neurologists can facilitate an early diagnosis and prevent unnecessary investigations.
KEYWORD
Transfer dysphagia, focal dystonia, eating dystonia, videofluoroscopy, barium swallow
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