Figure 1 : 55 years old male patient.
MBSS revealed radiological features denoting neurological swallowing disorder including penetration (yellow star-A), with residual barium after swallowing (red curved arrow-B). and aspiration (blue straight arrow-C). (D). After Vitalstim therapy, follow up MBSS revealed marked improvement, include; Absence of penetration, absence of aspiration with improvement in the oropharyngeal swallowing phase and decrease in the amount of residual barium after swallowing.