“…16 Ninety-seven percent of the patients developed bulbar symptoms. 1,[3][4][5][6][7][8][9][10][11]13,14,[16][17][18][19][20][21][22][23] Weight loss resulting from dysphagia in FOSMN may be severe, and in 34 cases, gastrostomy was indicated. 1,3,4,7,8,10,11,13,14,[16][17][18][19]23 The mean disease duration before placement was 5 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) years after onset of the symptoms.…”