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Wednesday, 8 April 2015

Complex, though highly interpretable, clinical presentation!

A 54-year-old previously healthy man was referred to the neurologist because of an insidious onset of hoarseness of voice, dysphagia with frequent choking and nasal regurgitation.

Examination revealed:
  •  Weakness of the left sternomastoid muscle
  •  Flattening of the left shoulder
  •  Wasting of the tungue (which deviates to the left when protruded)
  •  Left side Horner’s syndrome
  •  Gag reflex was absent on the left

What's the diagnosis?

The diagnosis is Jugular Foramen Syndrome

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