An 87-year-old Swiss woman who had torturous seizures in her chest had a neck that bent into a wine tool shape at every point where she swallowed, according to a case report.
The lady had lost 11 pounds in the previous period and told the specialists that she had had convulsive seizures shortly after eating.
Her family doctors performed an endoscopy and found that her neck had a similar helical shape when swallowed, like a winding slide in a climbing frame. X-rays revealed the alarming structure of the wine tool.
“The extent of this finding was unprecedented,” said Dr Luc Biedermann of the University Hospital of Zurich, who treated the lady and revealed the case in this week's New England Journal of Medicine.
Despite the fact that the condition is unusual, it was experienced before. In fact, another elderly patient, aged 89, who grumbled about problems with swallowing, stomach pain and constant belching, also had a helical form when swallowing, according to a 2003 case report in a similar diary.
Dr. Michael Vaezi, who has some expertise in the treatment of “oesophageal motility problems” at Vanderbilt University Medical Center in Tennessee, said he had seen the condition several times before these patients were on week to week premise. ”
Dr John Pandolfino, a gastroenterologist at Northwestern Memorial Hospital in Chicago, made it clear that this abnormal miracle is happening because of the way the muscles of the throat contract. When an individual swallows, the muscle filaments that circle the highest point of the throat usually contract first, and then the muscles just below them converge, and this flood of compression continues to the stomach.
However, in a person with this condition, all muscles contract all the time. The muscles then move the neck itself into a twisted shape instead of moving the food towards the stomach.
It is not clear why this happens anyway. Vaezi said, “some have estimated that gastroesophageal reflux (GERD) could take a job”.
Although there is no cure for the disease, the specialists in the study tried to treat the patient's indications by giving her highly proportional protonensiphon inhibitors, which are regularly used to treat gastroesophageal reflux disease, and long-acting calcium channel blockers , which Vaezi said could help reduce the “pressure” of throat removal.
In the case of this patient none of the drugs had a major impact.
Sometimes “Botox of the throat was additionally tried with limited performance,” Pandolfino explained, “but it only lasts for six to a year, so it is anything but a decent long distance arrangement.” A final retreat order may involve a medical procedure of the oesophageal muscles.
Pass it on: A strange, spiral-shaped throat was found in an elderly lady.
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