Laryngeal findings in advanced Parkinson's disease

被引:58
作者
Blumin, JH [1 ]
Pcolinsky, DE [1 ]
Atkins, JP [1 ]
机构
[1] Univ Penn, Penn Hosp, Penn Ctr Voice, Dept Otorhinolaryngol Head & Neck Surg, Philadelphia, PA 19104 USA
关键词
fiberoptic endoscopic evaluation of swallowing; larynx; Parkinson's disease; videostroboscopy; voice; Voice Handicap Index;
D O I
10.1177/000348940411300401
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Parkinson's disease is a major source of neurologic morbidity. A majority of patients with Parkinson's disease complain of problems with Voice, speech, and swallowing. Treatments for these problems center on the improvement of vocal fold adduction through either speech therapy or vocal fold augmentation. No prior study has looked at laryngeal improvement after neurologic surgery. specifically deep brain stimulation, performed to treat Parkinson's disease. The goal of this study was to establish a baseline of laryngeal findings in patients who are considering deep brain stimulation. Fifteen patients underwent physical examination with videostroboscopy and fiberoptic endoscopic evaluation of swallowing before deep brain stimulation. In addition, they were asked to self-report voice handicap. Eighty-seven percent of patients demonstrated significant vocal fold bowing. All patients had some degree of pharyngeal residue of solids noted on evaluation of swallowing. All but one patient had a significant self-reported voice handicap. These findings are reviewed and established as a baseline for further study.
引用
收藏
页码:253 / 258
页数:6
相关论文
共 20 条
  • [11] Neurosurgical intervention for Parkinson's disease: An update
    Kolchinsky, A
    [J]. SURGICAL NEUROLOGY, 2001, 56 (04): : 277 - 281
  • [12] Surgery for Parkinson disease -: A critical evaluation of the state of the art
    Lang, AE
    [J]. ARCHIVES OF NEUROLOGY, 2000, 57 (08) : 1118 - 1125
  • [13] Laryngeal deglutition movement in Parkinson's disease
    Leopold, NA
    Kagel, MC
    [J]. NEUROLOGY, 1997, 48 (02) : 373 - 376
  • [14] Motor complications of chronic levodopa therapy in Parkinson's disease
    Miyawaki, E
    Lyons, K
    Pahwa, R
    Troster, AI
    Hubble, J
    Smith, D
    Busenbark, K
    McGuire, D
    Michalek, D
    Koller, WC
    [J]. CLINICAL NEUROPHARMACOLOGY, 1997, 20 (06) : 523 - 530
  • [15] Outcome measurements and quality of life in voice disorders
    Murry, T
    Rosen, CA
    [J]. OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2000, 33 (04) : 905 - +
  • [16] The Parkinson larynx: Tremor and videostroboscopic findings
    Perez, KS
    Ramig, LO
    Smith, ME
    Dromey, C
    [J]. JOURNAL OF VOICE, 1996, 10 (04) : 354 - 361
  • [17] COMPARISON OF 2 FORMS OF INTENSIVE SPEECH TREATMENT FOR PARKINSONS-DISEASE
    RAMIG, LO
    COUNTRYMAN, S
    THOMPSON, LL
    HORII, Y
    [J]. JOURNAL OF SPEECH AND HEARING RESEARCH, 1995, 38 (06): : 1232 - 1251
  • [18] Effects of speech therapy and pharmacologic and surgical treatments on voice and speech in Parkinson's disease: A review of the literature
    Schulz, GM
    Grant, MK
    [J]. JOURNAL OF COMMUNICATION DISORDERS, 2000, 33 (01) : 59 - 88
  • [19] INTENSIVE VOICE TREATMENT IN PARKINSON DISEASE - LARYNGOSTROBOSCOPIC FINDINGS
    SMITH, ME
    RAMIG, LO
    DROMEY, C
    PEREZ, KS
    SAMANDARI, R
    [J]. JOURNAL OF VOICE, 1995, 9 (04) : 453 - 459
  • [20] RADIOLOGICAL ASSESSMENT OF DYSPHAGIA IN PARKINSONS-DISEASE
    STROUDLEY, J
    WALSH, M
    [J]. BRITISH JOURNAL OF RADIOLOGY, 1991, 64 (766) : 890 - 893