{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T00:44:56Z","timestamp":1794357896003,"version":"4.9.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>A variety of age-related problems, including salivary secretory disorders, poor oral motor coordination, neuromuscular weakness, neurodegenerative diseases, stroke, and structural changes, can result in swallowing disorders. Given that causes of dysphagia differ from patient to patient, individualized treatment plans tailored toward patients\u2019 specific conditions are needed. Here we present a case of an elderly woman with upper neck stiffness and dysphagia sought chiropractic treatment. Radiographic findings suggested cervical spondylosis with a vertical atlantoaxial subluxation. Following 20 sessions of chiropractic treatment, the patient experienced complete relief from neck problems and difficulty in swallowing. Rhythmic swallowing movements are controlled by a central pattern-generating circuit of the brain stem. In this case, the brain stem could have been compressed by the odontoid process of the axis due to C1\/2 instability. Cervicogenic dysphagia is a cervical cause of difficulty in swallowing. Cervical complaints in the context of dysphagia are mostly under-estimated. A high degree of clinical suspicion is pivotal in timely intervention.<\/jats:p>","DOI":"10.1177\/1179547619882707","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T02:13:40Z","timestamp":1577672020000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Unusual Cause of Dysphagia in a Patient With Cervical Spondylosis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-556X","authenticated-orcid":false,"given":"Eric Chun Pu","family":"Chu","sequence":"first","affiliation":[{"name":"New York Chiropractic & Physiotherapy Centre, New York Medical Group, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Sing Fai","family":"Shum","sequence":"additional","affiliation":[{"name":"Hong Kong Advanced Imaging, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy Fu Chieh","family":"Lin","sequence":"additional","affiliation":[{"name":"New York Chiropractic & Physiotherapy Centre, New York Medical Group, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"bibr1-1179547619882707","first-page":"92","volume":"135","author":"Grgi\u0107 V.","year":"2013","journal-title":"Lijec Vjesn"},{"key":"bibr2-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-013-9484-7"},{"key":"bibr3-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2010.05.002"},{"key":"bibr4-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.2001.81.2.929"},{"key":"bibr5-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-009-9211-6"},{"key":"bibr6-1179547619882707","doi-asserted-by":"publisher","DOI":"10.4172\/2471-8726.1000117"},{"key":"bibr7-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1023-8"},{"key":"bibr8-1179547619882707","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/16.3.155"},{"key":"bibr9-1179547619882707","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1980.53.6.0841"},{"key":"bibr10-1179547619882707","first-page":"287","volume-title":"Upper Cervical Subluxation Complex: A Review of the Chiropractic and Medical Literature","volume":"2004","author":"Eriksen K"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179547619882707","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1179547619882707","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179547619882707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:13:45Z","timestamp":1777454025000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1179547619882707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":10,"alternative-id":["10.1177\/1179547619882707"],"URL":"https:\/\/doi.org\/10.1177\/1179547619882707","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"1179547619882707"}}