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Ann Rehabil Med. 2012 Jun;36(3):409-413. English. Case Report.
Lee SY , Yang HE , Yang HS , Lee SH , Jeung HW , Park YO .
Department of Physical Medicine & Rehabilitation, Seoul Veterans Hospital, Seoul 134-791, Korea. yangmary@naver.com
Gongju Health Center, Gongju 314-756, Korea.
Korea Tourism College Eldercare Center, Icheon 467-745, Korea.
Abstract

Wilson's disease is an autosomal recessive disorder of abnormal copper metabolism. Although dysphagia is a common complaint of patients with Wilson's disease and pneumonia is an important cause of death in these patients, management of swallowing function has rarely been reported in the context of Wilson's disease. Hence, we report a case of Wilson's disease presenting with dysphagia. A 33-year-old man visited our hospital with a complaint of difficulty in swallowing, since about last 7 years and which had worsened since the last 2-3 months. He was diagnosed with Wilson's disease about 13 years ago. On the initial VFSS, reduced hyoid bone movement, impaired epiglottic movement and moderate amount of residue in the valleculae during the pharyngeal phase were noted. After 10 sessions of neuromuscular electrical stimulation for 1 hour per day, decreased amount of residue was observed in the valleculae during the pharyngeal phase on the follow-up VFSS.

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