THE DYSTONIC LARYNX

被引:19
作者
BLITZER, A
BRIN, MF
机构
[1] Department of Otolaryngology, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
[2] Department of Neurology, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
[3] Dystonia Clinical Research Center, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
关键词
SPASMODIC DYSPHONIA; LARYNGEAL DYSTONIA;
D O I
10.1016/S0892-1997(05)80025-6
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Spastic Dysphonia or spasmodic dysphonia has been shown to be a focal laryngeal form of dystonia. Review of our 2556 cases of dystonia and 562 cases of laryngeal dystonia reveals similar male/female ratio, Jewish/non-Jewish ratio, family history, EMG data, and percent focal, segmental and general cases to be the same. Patients with the adductor form have a staccato, jerky, squeezed, labored, hoarse or groaning voice. In the abductor form, patients have a breathy, effortful voice with aphonic, whispered segments of speech. Compensatory forms may confuse the diagnosis. Fiberoptic videostroboscopy, EMG, and voice spectrograms are very useful for diagnosis.
引用
收藏
页码:294 / 297
页数:4
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