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A 64-year-old Japanese man without vascular risk was admitted to our hospital 2 months after an abrupt and severe rotation of the neck to the left, which occurred when he lifted his bag from behind a seat. After the injury, he suffered headaches radiating to the left retroauricular region. Seven days later, he developed hoarseness; 6 weeks later, he developed difficulty in swallowing and moving his left shoulder. Neurological examination revealed the pharyngeal wall had shifted to the right and decreased movements on the left soft palate. The patient's pharyngeal reflex was absent and he had dysarthria with hoarseness and atrophy …
Contributors KS and KI acquired the data and drafted the manuscript. MiY contributed to MRI interpretation. MaY conceptualised and supervised the report. KS and KI contributed equally.
Competing interests None declared.
Patient consent Obtained.
Ethics approval The ethics committee of Kanazawa University School of Medicine.
Provenance and peer review Not commissioned; externally peer reviewed.