A new complication of hypothyroid coma: Neurogenic dysphagia: Presentation, diagnosis, and treatment

We report the case of a patient with severe hypothyroid coma in whom hypoth yroid-related neurogenic oropharyngeal dysphagia was suspected, videoscopic ally confirmed, and successfully treated. This complication has not previou sly been described, and may have contributed to the historically high morta lity associated with severe cases of hypothyroid coma. In the future, the e arly detection and aggressive treatment of this complication and its sequel ae should ensure a further reduction in mortality from hypothyroid coma.