Welcome to Neuro Talk. I am glad you decided to post, and took a look around the site. You did find some good people here to help. These kinds of neuro problems can sometimes be the most difficult to diaganose. The list of symptoms he has mimicks so many different kinds of neruo problems. I would also consider a Gastroinerologist, GI, doctor, to rule out any throat problems, that would cause swallowing difficulity. I know all the search for answers is difficult. You will find lots of support while you search for answers. Just don't give up. Eventually there will be a doctor who will put all the pieces together for you, so that at least you will know what it is. Have you had more than several neurologists look at your fiancee'.? A disease specialist is another option, that some people do go to for another opinion. In the mean time I wish you all the best. I hope that alot of people will respond to you. I will keep you both in my thoughts and prayers, and hope that you can find an answer and some kind of helpful treatment. ginnie