报告一例少见的跨咽喉肌阵李症，表现为构语障碍、吞咽困难和误吸，而没有耳鸣。患者男性，78岁，吞咽困难18个月，进食时易呛咳，并有构语障碍。5年前曾有“脑血管意外”史。检查时双侧软障和咽有节律地以每分钟70次的频率阵挛，外观喉软骨有明显的节律性运动。患者既无客观性 A rare case of trans-laryngeal myocutosis was reported, showing signs of speech disorder, dysphagia and aspiration without tinnitus. The patient, male, 78 years old, had difficulty swallowing for 18 months, coughed easily on eating, and had a speech disorder. Five years ago there was a “history of cerebrovascular accidents.” Check the bilateral soft-shelled and pharyngeal rhythm to 70 times per minute frequency clonus, the appearance of laryngeal cartilage obvious rhythmic movement. Patient neither objectivity