Changes

* Dysphagia

* Dysphagia

* Tetanic spasms of the neck, trunk, masseter and limb muscles

* Tetanic spasms of the neck, trunk, masseter and limb muscles

 

Cases may vary from mild signs of a short, stilted gait, to complete recumbency with spastic paralysis. Progression of the disease may lead to involvement of the pharyngeal and laryngeal muscles leading to aspiration pneumonia. Recumbency may be followed by paralysis of the respiratory muscles, leading to death due to hypoxia or respiratory arrest.  

Cases may vary from mild signs of a short, stilted gait, to complete recumbency with spastic paralysis. Progression of the disease may lead to involvement of the pharyngeal and laryngeal muscles leading to aspiration pneumonia. Recumbency may be followed by paralysis of the respiratory muscles, leading to death due to hypoxia or respiratory arrest due to diaphragmatic spasm.

==Treatment==

==Treatment==