{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:17:17Z","timestamp":1774610237714,"version":"3.50.1"},"reference-count":22,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2020,9]]},"DOI":"10.1016\/j.jemermed.2020.06.008","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T01:39:48Z","timestamp":1594863588000},"page":"392-395","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Trouble with Swallowing: Dysphagia as the Presenting Symptom in Lateral Medullary Syndrome"],"prefix":"10.1016","volume":"59","author":[{"given":"Meaghan","family":"Frederick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhinav","family":"Rajpal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5936-4456","authenticated-orcid":false,"given":"Charles","family":"Kircher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran A.","family":"Faryar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2020.06.008_bib1","doi-asserted-by":"crossref","first-page":"g3175","DOI":"10.1136\/bmj.g3175","article-title":"Posterior circulation ischaemic stroke","volume":"348","author":"Merwick","year":"2014","journal-title":"BMJ"},{"key":"10.1016\/j.jemermed.2020.06.008_bib2","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1161\/STROKEAHA.115.010613","article-title":"Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services","volume":"47","author":"Arch","year":"2016","journal-title":"Stroke"},{"key":"10.1016\/j.jemermed.2020.06.008_bib3","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.10.004","article-title":"Factors associated with the misdiagnosis of cerebellar infarction","volume":"22","author":"Masuda","year":"2013","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.1016\/j.jemermed.2020.06.008_bib4","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.ncl.2014.07.007","article-title":"Cerebellar infarction","volume":"32","author":"Datar","year":"2014","journal-title":"Neurol Clin"},{"key":"10.1016\/j.jemermed.2020.06.008_bib5","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1001\/archneur.58.4.621","article-title":"Diffusion-weighted imaging and National Institutes of Health Stroke Scale in the acute phase of posterior-circulation stroke","volume":"58","author":"Linfante","year":"2001","journal-title":"Arch Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib6","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1159\/000358869","article-title":"Lower NIH stroke scale scores are required to accurately predict a good prognosis in posterior circulation stroke","volume":"37","author":"Inoa","year":"2014","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.jemermed.2020.06.008_bib7","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1093\/brain\/awg169","article-title":"Pure lateral medullary infarction: clinical-radiological correlation of 130 acute, consecutive patients","volume":"126","author":"Kim","year":"2003","journal-title":"Brain"},{"key":"10.1016\/j.jemermed.2020.06.008_bib8","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1161\/01.STR.25.7.1405","article-title":"Spectrum of lateral medullary syndrome. Correlation between clinical findings and magnetic resonance imaging in 33 subjects","volume":"25","author":"Kim","year":"1994","journal-title":"Stroke"},{"key":"10.1016\/j.jemermed.2020.06.008_bib9","author":"Caplan"},{"key":"10.1016\/j.jemermed.2020.06.008_bib10","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1212\/WNL.0000000000003814","article-title":"ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis","volume":"88","author":"Tarnutzer","year":"2017","journal-title":"Neurology"},{"key":"10.1016\/j.jemermed.2020.06.008_bib11","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1161\/hs0901.094278","article-title":"Dysphagia in lateral medullary infarction (Wallenberg's syndrome): an acute disconnection syndrome in premotor neurons related to swallowing activity?","volume":"32","author":"Aydogdu","year":"2001","journal-title":"Stroke"},{"key":"10.1016\/j.jemermed.2020.06.008_bib12","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1001\/archneurol.2011.2083","article-title":"Symptoms and signs of posterior circulation ischemia in the New England Medical Center posterior circulation registry","volume":"69","author":"Searls","year":"2012","journal-title":"Arch Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib13","doi-asserted-by":"crossref","first-page":"2445","DOI":"10.1007\/s00415-018-9002-9","article-title":"Isolated dysphagia due to dysfunction of central pattern generator in lateral medullary infarction","volume":"265","author":"Kawasaki","year":"2018","journal-title":"J Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib14","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1159\/000008000","article-title":"Isolated dysphagia due to a medullary infarction: a new lacunar syndrome","volume":"41","author":"Lee","year":"1999","journal-title":"Eur Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib15","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1017\/S0317167100013603","article-title":"Isolated dysphagia after a small posterolateral medullary infarct: a case report","volume":"39","author":"Zand","year":"2012","journal-title":"Can J Neurol Sci"},{"key":"10.1016\/j.jemermed.2020.06.008_bib16","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/BF01354544","article-title":"Clinically probable brainstem stroke presenting primarily as dysphagia and nonvisualized by MRI","volume":"8","author":"Buchholz","year":"1993","journal-title":"Dysphagia"},{"key":"10.1016\/j.jemermed.2020.06.008_bib17","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1007\/s00455-018-09970-9","article-title":"Disruption of the obligatory swallowing sequence in patients with Wallenberg syndrome","volume":"34","author":"Nakao","year":"2019","journal-title":"Dysphagia"},{"key":"10.1016\/j.jemermed.2020.06.008_bib18","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1001\/archneur.57.4.478","article-title":"Aspiration subsequent to a pure medullary infarction: lesion sites, clinical variables, and outcome","volume":"57","author":"Kim","year":"2000","journal-title":"Arch Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib19","doi-asserted-by":"crossref","first-page":"3504","DOI":"10.1161\/STROKEAHA.109.551234","article-title":"HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging","volume":"40","author":"Kattah","year":"2009","journal-title":"Stroke"},{"key":"10.1016\/j.jemermed.2020.06.008_bib20","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S1474-4422(08)70216-3","article-title":"Diagnosis and initial management of cerebellar infarction","volume":"7","author":"Edlow","year":"2008","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib21","first-page":"1434","article-title":"False-negative diffusion-weighted MR findings in acute ischemic stroke","volume":"21","author":"Oppenheim","year":"2000","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.jemermed.2020.06.008_bib22","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1056\/NEJMoa1804355","article-title":"MRI-guided thrombolysis for stroke with unknown time of onset","volume":"379","author":"Thomalla","year":"2018","journal-title":"N Engl J Med"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467920305576?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467920305576?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:46:20Z","timestamp":1760028380000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0736467920305576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["S0736467920305576"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2020.06.008","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Trouble with Swallowing: Dysphagia as the Presenting Symptom in Lateral Medullary Syndrome","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2020.06.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}