Abstract
A case of Wallenberg's syndrome with dysphagia, a normal complication of this syndrome, treated by a cricopharyngeal myotomy is herein reported. A 53-year-old man who had suffered a left brain infarction in 1990 had been afflicted with severe dysphagia for one year. A videofluoroscopic and manometric examination showed an impairment of the cricopharyngeal muscle relaxation with severe aspiration during swallowing. After performing a cricopharyngeal myotomy, the dysphagia improved dramatically and a manometric examination also proved tha operation to be successful. We discuss the indications for a cricopharyngeal myotomy in dysphagia due to Wallenberg's syndrome. Therefore, the combination of videofluoroscopic and manometric techniques was found to be useful for the evaluation of dysphagia.
