Presentation
See clinical problems as they present in practice with 3,200 images - many new to this edition. Consult the complete contents of this encyclopedic reference online, with video clips of key index cases! [books.google.de]
Here, we present a patient with post-polio syndrome who presents with an unusual symptom manifestation of hoarseness. [openaccessjournals.com]
Patients usually present with severe neonatal hypotonia. When respiratory distress is present, death can occur in the first year of life. There is delay of motor milestones during childhood. [nature.com]
To the physical exam and otorhinolaryngological presented diversion of oral rhymes to the right. [arquivosdeorl.org.br]
A 69-year-old man was referred to our neurology department with progressive dysarthria, dysphagia, and pseudobulbar affect present for 1.5 years. [jamanetwork.com]
Entire Body System
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Relapsing Polychondritis
Amyloid Wegeners Relapsing Polychondritis Laryngeal trauma (vid infra) The treatment of the above involves full assessment in the Voice Laboratory, voice therapy and surgery depending on the diagnosis. [stvincentsent.com.au]
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Developmental Delay
delay: Motor; Speech Upper motor neuron Muscle tone: Increased Tendon reflexes: Brisk Morphology Face: Long; Pointed nose & chin Microcephaly Fingers: Tapering Height & Weight: Low Feet: Pes cavus; Abnormal toe separation Strabismus Distal myopathy: [neuromuscular.wustl.edu]
Ears
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Tinnitus
Topics covered in MITECD include cochlear implants for children and adults, pitch perception, tinnitus, alaryngeal voice and speech rehabilitation, neural mechanisms of vocalization, holistic voice therapy techniques, computer-based approaches to children's [books.google.de]
Psychiatrical
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Anger
Our voices are very emotional instruments and help to convey a spectrum of emotions including happiness, sadness and anger. “I’m all choked up” is more than just a figure of speech. [swedish.org]
Improved speech is noted during emotional or physiological states for example joy, anger or following yawning. Shouting or stress usually makes the condition worse. Treatment can be difficult and is dependent on the individual. [netdoctor.co.uk]
Neurologic
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Scanning Speech
speech and dysarthria Multiple sclerosis Soft (loss of volume) Vocal cord paralysis, Parkinson disease Spoken voice lost, but whispered voice maintained Conversion aphonia Strained, effortful phonation Muscle tension dysphonia Strained Laryngopharyngeal [aafp.org]
Workup
After complete workup, its frequency fell to 14%. [nature.com]
Treatment
Current treatments only help reduce the symptoms. SLP- Voice therapy may reduce some symptoms, especially in mild cases. [blog.asha.org]
Since that first referral from the SLP, treatment has been provided to dozens of patients. [physiotherapy.ca]
Speech therapy is also an important part of treatment of spasmodic dysphonia. [entcolumbia.org]
If you fail to respond adequately to Botox treatment after two injection sessions, you should not continue using this therapy. After three treatment cycles, the doctor will assess your response and the need for further treatment. [myvmc.com]
[…] and lifestyle changes that may result from cancer treatment. [nyee.edu]
Prognosis
Back to top What is the prognosis for someone with myositis? In dermatomyositis, most cases and symptoms respond very well to therapy. [kaleidoscopefightinglupus.org]
How is MG treated and what is the prognosis? MG is treated with medications called anticholinesterases (pyridostigmine or Mestinon), which restore muscle strength and reduce the tendency toward fatigue. [voicefoundation.org]
Prognosis In patients with significant dysphonia 6-12 months after the onset of symptoms, the prognosis for spontaneous recovery is poor. [emedicine.medscape.com]
It is not intended to provide instruction and you should not rely on this information to determine diagnosis, prognosis or a course of treatment. It should not be used in place of a professional consultation with a doctor. [dystonia.org.uk]
Kurisaki H Prognosis of multiple system atrophy: survival time with or without tracheostomy [in Japanese]. Rinsho Shinkeigaku 1999;39 (5) 503- 507 PubMed Google Scholar 40. [jamanetwork.com]
Etiology
Ask the patient to describe the change in voice quality as specifically as possible, because vocal quality may suggest specific etiologies ( Table 3 ). [aafp.org]
Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. [icd10data.com]
Voice disorders can have several different etiologies: functional, organic or neurological. [adultstopediatrics.com]
The treatment entails preventing other complications such as aspiration, and addressing the etiology more specifically. [nature.com]
In this condition, there is an excessive activity of unknown etiology in one (rarely both) of the sternocleidomastoids. This results in an obvious deviation of head position. [dartmouth.edu]
Epidemiology
3 Dutch families Gowers (Laing; Early adult onset distal myopathy type III; MPD1) 3, 4 Myosin heavy chain 7 (MYH7) ; Chromosome 14q11.2; Dominant or Sporadic Epidemiology Australian, German, Italian & Austrian families Genetics: MYH7 mutations Types [neuromuscular.wustl.edu]
In a epidemiological study performed at Mayo Clinic, was observed that 25% of the patients that survive poliomyelitis presented late effects of the disease (9). Other studies point to a 90% rate (10,11). [arquivosdeorl.org.br]
Epidemiology and inheritance of oculopharyngeal muscular dystrophy in Israel. Neuromuscul Disord 7 Suppl 1, S38-40. Brais, B. (2009). Oculopharyngeal muscular dystrophy: a polyalanine myopathy. Curr Neurol Neurosci Rep 9, 76-82. [webeye.ophth.uiowa.edu]
Epidemiological Studies A limited number of epidemiological studies have been published. [karger.com]
Epidemiology A retrospective analysis of data from a large American claims database found that of almost 55 million individuals, 536,943 patients (ages 0 to 65 years) were given a dysphonia diagnosis (point prevalence rate of 0.98%). [ 3 ] One study screening [patient.info]
Pathophysiology
Pathophysiological differences between musician’s dystonia and writer’scramp. Brain 2005;128:918–931. doi: 10.1093/brain/awh402. 60. Quartarone A, Bagnato S, Rizzo V, et al. [tremorjournal.org]
Pathophysiology and Treatment of Muscle Tension Dysphonia: A review of Current Knowledge. Journal of Voice, 25(2), 202-207. 3. Tomilson, C., Archer, K. (2014). [physiotherapy.ca]
First, onset is gradual after which the disorder becomes chronic, suggesting some adaptation processes are involved in the development of the pathophysiology. [jneurosci.org]
A prospective cohort study with clinical, laryngoscopic, and electromyographic evaluation of patients with ALS is required to provide insight into the epidemiology, pathophysiology, and prognosis of vocal cord dysfunction in ALS. [jamanetwork.com]
The pathophysiology of this movement disorder has been localized to the dento-olivary pathway. Laryngoscopy performed during phonation enables the assessment of laryngeal mobility. [emedicine.medscape.com]
Prevention
Unilateral vocal fold paralysis can be caused by a variety of diseases or disorders that prevent movement in one vocal fold. [texasvoicecenter.com]
Note that both vocal cords have a curve to them which prevent a tight closure resulting in air escape. Normal vocal cords are straight and come together tightly to prevent any air escape. [fauquierent.net]
What can be done to prevent diseases of the larynx? Quitting smoking and cutting back on drinking alcohol can help prevent laryngeal cancer. [my.clevelandclinic.org]
Dermatomyositis cannot be prevented. [healthcommunities.com]
Many patients have a myopathy (muscle disease) of the laryngeal muscles (voice box muscles) which prevents them from closing properly when talking. Others have mucosal inflammation of the voice box. [healthcentral.com]