Tahir Nazir, M.R.C.P. and Shuja Punekar, F.R.C.P. N Engl J Med 2010; 363:462July 29, 2010
A 92-year-old woman was admitted to the hospital with a severe left-sided ischemic stroke causing altered mental status (i.e., a score of 9 on the Glasgow Coma Scale, on which scores range from 3 to 15, with higher scores indicating increased consciousness), weakness on the right side, and dysphagia.
An initial attempt to insert a small-caliber nasogastric tube for feeding was unsuccessful, with coiling of the tube in the mouth.
Weblink here