Abstract Rationale: Swallowing apraxia is defined as dysfunction in oral phase caused by the deficit in the coordination of tongue, lip, and chin movements, without motor weakness, sensory loss, and cognitive decline and has not been reported yet. Patient concerns: A 69-year-old male with personal medical history of ischemic stroke about 10 years ago newly developed right striatocapular infarction. He had a problem in the oral phase of swallowing after recurrent ischemic strokes. Diagnoses: He was diagnosed as swallowing apraxia via bed side examination and videofluoroscopic swallowing study. Intervention: Videofluoroscopic swallowing study was done in this case. Outcomes: Symptoms and findings of VFSS were not improved after 2 months treatment. Lessons: This case implies that a clinician should be alert to swallowing apraxia as a possible cause when a patient with recurrent strokes complains of oral phase dysfunction of swallowing and considers proper diagnostic option such as videofluoroscopic swallowing study.

中文翻译：

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复发性缺血性卒中患者吞咽失用症

摘要 理由：吞咽性失用症是指由于舌、唇和下巴运动协调障碍导致的口腔期功能障碍，没有运动无力、感觉丧失和认知能力下降，尚未见报道。患者关注点：一名 69 岁男性，约 10 年前有缺血性卒中个人病史，新发右侧纹状体脑梗死。复发性缺血性中风后，他的口腔吞咽出现问题。诊断：通过床边检查和视频透视吞咽研究，他被诊断为吞咽失用症。干预：在这种情况下进行了视频透视吞咽研究。结果：治疗 2 个月后 VFSS 的症状和发现没有改善。教训：