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Forgotten Denture in a Hemiplegic Patient

Kim, Hyo-Sang MD; Kim, Chang-Hwan MD; Kim, Myeong-Ok MD; Joa, Kyung-Lim MD; Chung, Hyung MD; Jung, Han-Young MD

American Journal of Physical Medicine & Rehabilitation: March 2014 - Volume 93 - Issue 3 - p 267–271
doi: 10.1097/PHM.0b013e3182a92f2f
Case Reports

ABSTRACT A 74-yr-old man developed left hemiplegia because of a right middle cerebral artery territory infarction and also had clinical features of dysphagia and speech difficulty. At that time, he complained of neck pain, but the symptom was ignored because he had a nasogastric tube and had been diagnosed with a huge epiglottic cyst that had already shown several symptoms such as severe hoarseness and throat discomfort. A videofluoroscopic swallowing study was planned to find out the cause and the type of dysphagia. On the videofluoroscopic swallowing study, a foreign body was found at the hypopharynx. Surprisingly, it was confirmed as a denture. After removing the denture, the patient’s swallowing and speech difficulty were significantly improved. This case emphasizes the need for elderly stoke patients presenting with dysphagia or communication problems to receive more careful history taking and a more complete physical examination, with the cooperation of several clinical departments.

From the Neurorehabilitation Section, Department of Physical & Rehabilitation Medicine, School of Medicine, Inha University, Incheon City, South Korea.

All correspondence and requests for reprints should be addressed to Han-Young Jung, MD, Department of Physical & Rehabilitation Medicine, Inha University Hospital, 7-206, 3Ga, Shinheung-Dong, Joong-Gu, Incheon City, 400-711, South Korea.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins