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A 25-year-old man presented with 2-week history of progressively worsening dysphagia to solids and liquids. There was no history of anorexia or significant weight loss. On examination, his blood pressure was 120/60 mm Hg with pulse rate of 106 beats per min and had orthostatic hypotension. There was no evidence of oral thrush. He had absent gag reflex, while rest of neurological examination was normal. Upper gastrointestinal endoscopy was normal. His Contrast Enhanced Magnetic Resonance Imaging (CEMRI) brain and spinal cord was …
Contributors AG has reported and managed the case under supervision of PD and AB. NJ helped in reporting the case.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.