1.INTRODUCTIONLateral medullary Syndrome(LMS) also known as Wallenberg’s syndrome or posterior inferior cerebellar artery (PICA) syndrome was initially described by Gaspard Vieusseux in 1808 and later by Adolf Wallenberg in 1895(1). It is usually caused by a cerebrovascular accident usually due to atherosclerosis or embolism of the vertebral artery or the posterior inferior cerebellar artery (PICA) resulting in damage to the lateral part of the medulla oblongata(2, 3).Patients with this condition could clinically present with nausea and vomiting, vertigo, headache, dysarthria, dysphagia, ipsilateral Horner syndrome, nystagmus, cerebellar ataxia and crossed sensory disturbance(4). Dysphagia has significant clinical importance as it has increased risk of aspiration, malnutrition, prolonged hospital stays, and mortality(5).The management approach towards dysphagia in LMS is aimed at treating the dysphagia in stroke patients with modern techniques being used globally(1). In this case report we present the journey of an eighty-year-old male with a history of hypertension presenting with a sudden onset of difficulty of swallowing. Then he was thoroughly investigated for possible local causes of dysphagia before the final diagnosis was settled with a brain MRI.This unique case report highlights the importance of high index of suspicion in isolated cases of dysphagia without other localizing signs and symptoms.