DOI: 10.36347/sjmcr.2020.v08i07.011

Pages: 688-692

Dysphagia is a serious condition in which swallowing problems interfere with the patient's ability to eat, resulting pneumonia by aspiration, malnutrition, suffocation and asphyxia. It is a common symptom in the general population, and even more in the psychiatric patient. Antipsychotic drugs have traditionally been associated with extrapyramidal symptoms; these can be in the form of dysphagia, esophageal dysmotility or aspiration, which may not be recognized as an effect. The symptom of dysphagia may also appear in the psychiatric patient as in all other patients in a pathological context such as myasthenia gravis hence the difficulty to take into account dysphagia of iatrogenic origin and organic origin. We report the case of a patient with schizophrenia treated with neuroleptics first generation who presented with dysphagia with regurgitation, dysphonia and deterioration of the general state. The symptom was initially misdiagnosed as extrapyramidal side effect of neuroleptics but which did not give way even when molecules were stopped. Myasthenia gravis has been confirmed as the etiology of this dysphagia after an injury assessment.