咽喉頭異常感を主訴とした脳幹腫よう例

Abstract

A-23-year-old man complained of abnormal sensations in his throat and dysphagia for 4 months. He had a variety of other complaints such as general fatigue, anorexia, nausea, and vomiting. He was diagnosed with dysautonomia, but the complaints persisted. He consulted our clinic on Dec. 2, 1996. Videofluoroscopic findings showed aspiration, retention of barium in valleculae and pyriform sinuses, and an incomplete opening of the upper esophageal sphincter (UES). Manometric findings revealed abnormal relaxation of the UES, low pharyngeal pressures during pharyngeal contraction, and simultaneous contractions of the pharynx, which suggested a swallowing disorder. MRI revealed the existence of a brainstem tumor. Videofluoroscopy and manometry were useful for objectively assessing the abnormal sensations in his throat and dysphagia.