CLINICAL ASPECTS OF SPASMODIC DYSPHONIA
CLINICAL ASPECTS OF SPASMODIC DYSPHONIA
复制标题
DOI：
10.1136/jnnp.41.4.361
复制
发表时间：
1978-01-01
影响因子：
11
通讯作者：
IZDEBSKI, K
中科院分区：
文献类型：
--
作者：
AMINOFF, MJ;DEDO, HH;IZDEBSKI, K
本文报道了12例痉挛性发声障碍患者的临床特点。11年级的声音紧张、刺耳、紧绷、颤抖，音量和音调都很低。讲话有时几乎听不懂，时而断断续续，时而断断续续；这需要相当大的努力，并伴随着面部鬼脸。1例发声障碍是更广泛的神经系统疾病（特发性扭转性肌张力障碍）的一部分，另1例与眼睑痉挛共存，2例与体位性震颤共存。在这11名患者中，另一名患者有舌动障碍，但这可能与她以前的药物治疗有关。第12例患者患有家族性震颤，其声音以明显的呼吸为特征，伴有间歇性失音。这种障碍可能是由于喉肌组织局灶性肌张力障碍，这与这些病例中与之相关的神经障碍类型是一致的。在选定的病例中，对喉返神经进行治疗后，症状性获益。
The clinical features of 12 patients with spasmodic dysphonia are described. In 11, the voice was strained, harsh, tight, and tremulous, and was low in volume and pitch. Speech, which was sometimes barely intelligible, was interrupted by irregular stoppages and catches of the voice; it required considerable effort, and was accompanied by facial grimacing. The dysphonia was part of a more widespread neurological disorder (idiopathic torsion dystonia) in 1 case, while it coexisted with blepharospasm in another, and with postural tremor in two. There was a buccolingual dyskinesia in another of these 11 patients, but this may have been related to her previous drug regime. In the 12th patient, who had a familial tremor, the voice was characterized by marked breathiness, with intermittent aphonia. The disorder is probably due to a focal dystonia of the laryngeal musculature, and this would be consistent with the type of neurological disorders that were associated with it in these cases. Symptomatic benefit follows the therapeutic division of 1 of the recurrent laryngeal nerves, in selected cases.