Hypophonia: Causes & Reasons

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Possible Causes for Hypophonia

Parkinson Disease

Supporting parkinsonian features include stooped posture, masked facies, micrographia (small handwriting), drooling, speech changes (eg, hypophonia or soft speech, stuttering [dx.doi.org]

[…] feelings of depression or anxiety increase in dandruff or oily skin lack of facial expression ( hypomimia ) less frequent blinking and swallowing lowered voice volume ( hypophonia [medbroadcast.com]

[…] eating, dressing, and bathing) Trouble turning in bed Staying in a certain position for a long period of time Non-motor symptoms Diminished sense of smell Low voice volume (hypophonia [cedars-sinai.org]

Postencephalitic Parkinson Disease

[…] dressing, and bathing) Difficulty turning in bed Remaining in a certain position for a long period of time Nonmotor symptoms Diminished sense of smell Low voice volume (hypophonia [columbianeurology.org]

Treatment of Parkinson hypophonia with percutaneous collagen augmentation. Laryngoscope. 1999 Aug. 109(8):1295-9. [Medline]. Kim HJ, Jeon BS, Paek SH. [emedicine.medscape.com]

Juvenile Paralysis Agitans of Hunt

Hypomimia- “masked facies”,expressionless face, blinking Speech abnormalities- Hypophonia: soft voice Aprosody of speech: monotonous and lack of inflection Tachyphemia: do [slideplayer.com]

Dementia

42-year-old woman presented with a 6-month history of diffuse headache of moderate intensity and gradual onset of generalized weakness, imbalance, apathy, memory decline, hypophonia [ncbi.nlm.nih.gov]

Dermatomyositis

Her symptoms progressed, including severe dysphagia, hypophonia and weakness preventing sitting. [ncbi.nlm.nih.gov]

Parkinsonism

PD PRESENTATION • General features • Motor symptoms • Dysarthria • Dysphagia • Hypomimia • Hypophonia • Micrographia • Autonomic and sensory symptoms • Mental status changes [slideshare.net]

Patients often have one or several of the following signs: Tremor, or rhythmic unintentional movement Rigidity, or stiffness Bradykinesia, or a sense of slowing down in general Hypophonia [med.umich.edu]

Hypophonia is a pathological loss of power in the voice. 26-1. What are the functions of the extrapyramidal system? Answer 26-1. [dartmouth.edu]

Anxiety Disorder

Generalized anxiety disorder is a chronic condition characterized by beliefs that worry prepares and protects, but that excessive worry is out of control. In this article, I review the cognitive-behavioral model of generalized anxiety, focusing specifically on problems related to excessive worrying. Noncompliance in[…] [ncbi.nlm.nih.gov]

Amyotrophic Lateral Sclerosis

Amyotrophic lateral sclerosis (ALS) is one of the most common forms of motor neuron diseases. It is also known as “Lou Gehrig's disease”, after a well-known baseball player in New York. The hallmark of the disease is a mixed upper and lower motor neuropathy that is progressive over time. The upper motor signs[…] [symptoma.com]

Respiratory Muscle Paralysis

A 34-year-old lady presented with generalised weakness of body, indistinguishable from myasthenia gravis within 24 hours of a wasp sting. Respiratory muscle paralysis leading to respiratory failure developed and mechanical ventilatory support was required. The patient made an uneventful recovery. [ncbi.nlm.nih.gov]

Vocal Cord Dysfunction

Vocal cord dysfunction (VCD) is a nonorganic disorder of the larynx that involves unintentional paradoxical adduction of the vocal cords while breathing. The resultant symptoms can include dyspnea, chest tightness, cough, throat tightness, wheezing, or voice change. Most patients with VCD are female, and among[…] [ncbi.nlm.nih.gov]

Dementia with Lewy Bodies

Abstract The present study concerns an autopsied case of dementia with Lewy bodies (DLB) showing advanced Lewy pathology but minimal Alzheimer pathology. The patient was a 50-year-old Japanese male without inheritance. His initial symptoms at the age of 43 suggested the diagnosis ofjuvenile idiopathic Parkinson's[…] [ncbi.nlm.nih.gov]

Fear

Is an amygdala necessary to experience and perceive fear? Intriguing evidence comes from patient S.M. who lost her left and right amygdalae to disease. Initial testing suggested that S.M.'s most defining symptom was an inability to recognize fear in other people's facial expressions. A fascinating paper by Adolphs and[…] [ncbi.nlm.nih.gov]

Bradykinesia

Hypomimia, hypophonia, and monotonous speech are also manifestations of bradykinesia. Bradykinesia can be mistaken for depression. [toolkit.parkinson.org]

Other manifestation of bradykinesia include hypophonia, hypomimia, and monotonous or dull speech. [healthylifemed.com]

Motor Neuron Disease Type Madras

Bulbar weakness in 10 patients (100.0%) [dysarthria in all 9 patients (90.0%), hypophonia in 9 patients (90.0%)]. [ncbi.nlm.nih.gov]

[…] deficits Bilateral optic atrophy 6 60.0 Bilateral visual impairment 4 40.0 Bifacial weakness 5 50.0 Sensorineural deafness 10 100.0 IX to XII cranial nerves 10 100.0 Severe hypophonia [ncbi.nlm.nih.gov]

Secondary Parkinsonism

Abnormalities in speech Dysarthria, hypophonia and monotonous soft speech can occur due to bulbar dysfunction and thought to be due to orofacial–laryngeal bradykinesia and [medicaljoyworks.com]

[…] symptoms and commonly seen in men, and commonly affects the legs where there are moments of motor blocks in walking. [1] [2] Abnormalities in speech [1] [2] Dysarthria, hypophonia [explainmedicine.com]

Carbon Monoxide-Induced Parkinsonism

Treatment of Parkinson hypophonia with percutaneous collagen augmentation. Laryngoscope. 1999 Aug. 109(8):1295-9. [Medline]. Kim HJ, Jeon BS, Paek SH. [emedicine.medscape.com]

Classic Progressive Supranuclear Palsy Syndrome

Patients present with a gradual onset of unsteadiness or slowness of gait initially and hypophonia, which then progresses to gait freezing and start hesitation, but in the [movementdisorders.org]

The speech and writing freezing leads to hypophonia and micrography, respectively. [eyewiki.aao.org]

Psychogenic Movement Disorders

Stuttering was the most common speech abnormality (n = 16, 53.3 %), followed by speech arrests (n = 4, 13.3 %), foreign accent syndrome (n = 2, 6.6 %), hypophonia (n = 2, [ncbi.nlm.nih.gov]

[…] voice disorders are also relatively common in patients with psychogenic movement disorders, in which patients may experience stuttering, speech arrest, lower speech volume (hypophonia [bcm.edu]

Light Chain Disease

Examination showed hypophonia, mild macroglossia, tongue stiffness, submandibular and submental musculature stiffness, firm sternocleidomastoids, generalized 4-extremity weakness [neurology.org]

Jugular Foramen Syndrome

[…] a case of a 74-year-old man who presented with progressive dysphagia and dysarthria and was also found to have tongue deviation on the right side, left palatal droop and hypophonia [healio.com]

Extrapyramidal Disorder

Hypophonia is a pathological loss of power in the voice. 26-1. What are the functions of the extrapyramidal system? Answer 26-1. [dartmouth.edu]

Features Nonmotor Features Bradykinesia Rest tremor Rigidity Gait disturbance/postural instability Micrographia Masked facies (hypomimia)equalize Reduced eye blink Soft voice (hypophonia [slideshare.net]

Other common symptoms include: mask face, stooped posture, increased flexor tone, drooling, shuffling, seborrhea, orthostasis, decreased blinking, soft voice (hypophonia). [dartmouth.edu]

Foix-Chavany-Marie Syndrome

He had anarthria and hypophonia, although his comprehension was preserved. He also had a severe dysphagia. [ncbi.nlm.nih.gov]

[…] neuroradiological characteristics of a patient with FCMS due to sequential, bilateral, and symmetrical infarcts of corona radiata, presenting with slurred speech, severe hypophonia [onlinelibrary.wiley.com]

[…] thyroiditis, who presented a 2-month history of progressive bilateral facial weakness predominantly affecting the left side, inability to speak due to anarthria and severe hypophonia [elsevier.es]

Manganese Poisoning

A neurological assessment revealed features of parkinsonism which included hypophonia, hypomimia, mild bradykinesia and rigidity with no resting tremor. [jmedicalcasereports.biomedcentral.com]

Initial neurological assessment revealed hypophonia, hypomimia, mild bradykinesia and rigidity with no resting tremor. His eye movements were normal. [jmedicalcasereports.biomedcentral.com]

There were several features that led us to suspect manganism in our patient: lack of response to levodopa, hypophonia, absent resting tremor, abnormal 'cock-like' gait, MRI [jmedicalcasereports.biomedcentral.com]

Kinsbourne Syndrome

Two weeks later, she presented with speech difficulties, hypophonia, anxiety, and tremulous eye and head movement followed by increasing gait instability. [jamanetwork.com]

Lumbosacral Plexus Disorder

Involvement of the recurrent laryngeal nerve can result in weakness and partial paralysis of the vocal cords and, consequently, hoarseness and soft speech (hypophonia). [rarediseases.org]

Diencephalic Syndrome

Speech varied from hypophonia to normal; handwriting varied from legible script to gross scrawl. [ncbi.nlm.nih.gov]

Parkinson Disease Type 20

[…] you to speak up even though you feel like you are talking in a normal voice, you may be experiencing the Parkinson's disease symptom of a muffled or soft voice – called hypophonia [everydayhealth.com]

Speech therapy can also improve the hypophonia (soft voice) due to PD. Difficulty swallowing is also a common problem with advancing PD. [my.clevelandclinic.org]

Akinetic Mutism

The speech disorder included verbal inertia, hypophonia, perseveration, softened and at times slurred. [ncbi.nlm.nih.gov]

[…] hypoglycemic state, he developed prolonged delirium followed by severe extra pyramidal symptoms in the form of akinesia, rigidity (axial and appendicular), bradyphrenia, and severe hypophonia [ijcasereportsandimages.com]

[…] report describes a bilateral, distal anterior cerebral artery territory stroke resulting in isolated ischemic lesions in both SMA-proper with resultant spastic paraplegia and hypophonia [hoajonline.com]

Batten-Turner Congenital Myopathy

The weakness of the muscles involved in ventilation and of the face, with a limited ability to close the mouth, leads to hypophonia, nasality and marked unintelligibility. [ncbi.nlm.nih.gov]

Primary Progressive Non-Fluent Aphasia

In addition, a neurological examination now revealed a hypokinetic-rigid syndrome on the left side of his body, hypomimia with reduced blink frequency, and hypophonia as well [movementdisorders.org]