Ettlin T M, Heim S, Steiger U, Wurmser P, Probst A, Haegeli A
Neurologische Universitätsklinik, Kantonsspital, Basel.
Schweiz Rundsch Med Prax. 1992 Nov 24;81(48):1452-4.
This 58-year-old female presented with a history of difficulties in swallowing for 30 years. No diagnosis was made in spite of repeated investigations including barium-contrast radiography. A probative strumectomy and psychotherapy were unsuccessful. After an episode of major depression the swallowing disturbances increased. In addition the patient complained of mastication difficulties and was dysarthric. Finally, neurological examination and neurophysiological studies established the diagnosis of progressive bulbar palsy.
这位58岁女性有30年吞咽困难病史。尽管进行了包括钡餐造影在内的反复检查，但仍未明确诊断。试行甲状腺切除术和心理治疗均未成功。一次重度抑郁发作后，吞咽障碍加重。此外，患者还主诉咀嚼困难和构音障碍。最终，神经科检查和神经生理学研究确诊为进行性延髓麻痹。
