Pharyngeal Electrical Stimulation Evaluation for Dysphagia After Stroke

Inclusion Criteria: * Age ≥ 18 and ≤ 90 years. * Acute ischemic or hemorrhagic cerebral stroke within 7-28 days of baseline VFSS. * Score of 0 or 1 on NIHSS question 1a, Level of Consciousness. * Moderate to severe dysphagia (PAS \>4) on baseline VFSS (Baseline VFSS must meet the threshold criteria of demonstrating a PAS of ≥ 4, in three of the six boli (5 mL/1 tsp/bolus), during swallowing "thin liquid" barium media as assessed by the clinical staff administering the VFSS.). * Willing and able to have the Phagenyx® Catheter placed transnasally. * Willing and able to provide informed consent. * Stated willingness to comply with all study procedures and availability for the duration of the study. Exclusion Criteria: * Brainstem stroke. * Evidence of traumatic brain injury or subarachnoid hemorrhage. * Other known brain abnormalities documented by history and/or imaging (e.g., tumor, abnormal white matter, inflammatory neuropathy, myelin delamination, hydrocephalus). * Dysphagia from conditions other than stroke. * Pre-stroke history of swallowing complaints or treatment or history of diseases known to be associated with swallowing problems (other neurological, head and neck cancer. * Distorted oropharyngeal anatomy (e.g., pharyngeal pouch, major pharyngeal surgery or head /neck surgery) * Currently being treatment for pneumonia. * Mute, global aphasia; no usable speech or auditory comprehension (scores 3 on NIHSS question 9, Best Language) * NIHSS score of \>25 * Presence o…