Sriganesh, KSmita, VBansal, SRao, GSU2017-03-102017-03-10201226 ,1;81-8210.3109/02688697.2011.594188https://dspace.sctimst.ac.in/handle/123456789/9827Following brain injury, return of consciousness and cough reflex are presumed to be associated with safe airway. We describe two patients who had a normal cough reflex, but impaired swallowing, which led to prolonged hospital stay. This report highlights the dissociation between the cough reflex and swallowing function in such patients.Neurosciences & Neurology; SurgeryGood airway reflexes and normal sensorium do not assure safe tracheal extubation in patients with cerebral hemispheric pathology