Hysterical deafness, blindness, and dysphagia are manifestations of great rarity in childhood.
Drugs may also cause dysphagia by a direct effect on muscle f unction that disrupts peristalsis.
Damaged corticobulbar fibres may denervate lower cranial nerve nuclei and lead to pseudobulbar palsy, resulting in dysarthria and dysphagia.
If dysphagia is present, the history aims to establish (among other issues of onset, severity and complications) if it is oropharyngeal or oesophageal.
Given that dysphagia is transient in many patients it is reasonable to assess, hydrate and monitor for a period of 24-48 hours.
Relatively common pyramidal signs, decreased vibration sense, dysphagia, ophthalmoplegia, sphincter dysregulation, and hearing impairment.
Evidence that the patient experiences recurrent bouts of pneumonia is an important clue to aspiration that may be silent, as a result of dysphagia.
The cause of dysphagia is oesophageal compression by the food-fluid filled diverticulum.
