OBJECTIVE: To report the role of speech therapist in multidisciplinary teams in the management process of swallowing. CASE REPORT: Patient, male, eight years with cerebral palsy, suffered stroke, requiring hospitalization in the Intensive Care Unit and Power over nasoenteric probe. The medical team asked for clinical assessment of oral reintroduction. In the first evaluation of food the patient oral changes, with multiple swallowing and coughing after the offer of food. With the evolution of clinical and behavioral improvement was observed in readiness to feed. By offering soft food and liquid bulk thin the patient showed no signs of stress associated with swallowing. However, video fluoroscopy in the patient stasis in the piriformis sinuses and vallecula, swallows and laryngeal penetration during multiple supply of liquid. After discussion with the medical staff it was decided to release the soft diet orally and maintaining probe for other food consistencies, with return to outpatient management of swallowing. CONCLUSION: It is important to involve a multidisciplinary team of speech therapists in the care of children after stroke in order to manage the feeding process.