middle ear adhesions, dysphagia and tongue fasciculations

My client is a 46 y.o. male diagnosed with moderate mental retardation, dysphagia of unknown etiology with silent aspiration seen on videofluourscopy, tongue fasciculations, adhesions of the tympanic membraned to the middle ear, hx. of "7th cranial nerve deficits" and a long hx. of psychotropic medications. His neurologist originally suspected ALS, then after a reduction in clonazepam, found no neurogenic disfunction. My question is: Might these different symptoms be related and if so, how? Many thanks in advance for you help
TSpeech