• Brit J Hosp Med · Jan 2025

    Case Reports

    Delayed Diagnosis of Dysphagia: Consider "FOSMN".

    • Lauren Fratalia and Andrew J Larner.
    • Department of Neurology, Walton Centre for Neurology and Neurosurgery, Liverpool, UK.
    • Brit J Hosp Med. 2025 Jan 24; 86 (1): 161-6.

    AbstractAn 80-year-old lady had a history of progressive swallowing difficulty over several years with significant weight loss, but prior investigations in several medical departments proved negative. Neurological assessment noted her complaint of impaired feeling for food in her mouth and examination showed impaired corneal reflexes and facial sensory function. Blink reflex electrodiagnostic testing was consistent with a diagnosis of facial onset sensory and motor neuronopathy (FOSMN). This article raises awareness of the diagnosis, investigation and treatment of FOSMN.

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