Spastic Dysphonia: A case report
An in-depth investigation of a 55-year-old woman with spastic dysphonia was performed. The findings from otological, neurological and psychological investigations assisted in making a differential diagnosis and served to provide evidence for the etiology of this disorder. Subjective-perceptual eva...
| Main Author: | |
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| Format: | Article |
| Language: | English |
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AOSIS
1980-11-01
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| Series: | South African Journal of Communication Disorders |
| Online Access: | https://sajcd.org.za/index.php/sajcd/article/view/360 |
| _version_ | 1818130746073677824 |
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| author | Lesley Wolk |
| author_facet | Lesley Wolk |
| author_sort | Lesley Wolk |
| collection | DOAJ |
| description | An in-depth investigation of a 55-year-old woman with spastic dysphonia was performed. The findings from otological, neurological and psychological investigations assisted in making a differential diagnosis and served to provide evidence for the etiology of this disorder. Subjective-perceptual evaluations of the voice revealed a strained, harsh-breathy voice quality with frequent breaks in phonation, a variable pitch and visible tension in the face and neck muscles. Objective spectrographic evaluations revealed much turbulence, ill-defined harmonics, a breakdown in formant structure, rapid pitch fluctuations and evidence of diplophonia, which was confirmed on a fiberscopic examination. Post-treatment spectrographic evaluations indicated an improved phonatory ability with significant improvement in the above parameters. Results are discussed in terms of the etiology and symptomatology of this disorder; and clinical implications for diagnosis and treatment are considered. |
| first_indexed | 2024-12-11T08:09:56Z |
| format | Article |
| id | doaj.art-902bd05bb78d43e09d6eedaec580d061 |
| institution | Directory Open Access Journal |
| issn | 0379-8046 2225-4765 |
| language | English |
| last_indexed | 2024-12-11T08:09:56Z |
| publishDate | 1980-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Communication Disorders |
| spelling | doaj.art-902bd05bb78d43e09d6eedaec580d0612022-12-22T01:14:54ZengAOSISSouth African Journal of Communication Disorders0379-80462225-47651980-11-0127110.4102/sajcd.v27i1.360262Spastic Dysphonia: A case reportLesley Wolk0Department of Speech Pathology and Audiology, University of the WitwatersrandAn in-depth investigation of a 55-year-old woman with spastic dysphonia was performed. The findings from otological, neurological and psychological investigations assisted in making a differential diagnosis and served to provide evidence for the etiology of this disorder. Subjective-perceptual evaluations of the voice revealed a strained, harsh-breathy voice quality with frequent breaks in phonation, a variable pitch and visible tension in the face and neck muscles. Objective spectrographic evaluations revealed much turbulence, ill-defined harmonics, a breakdown in formant structure, rapid pitch fluctuations and evidence of diplophonia, which was confirmed on a fiberscopic examination. Post-treatment spectrographic evaluations indicated an improved phonatory ability with significant improvement in the above parameters. Results are discussed in terms of the etiology and symptomatology of this disorder; and clinical implications for diagnosis and treatment are considered.https://sajcd.org.za/index.php/sajcd/article/view/360 |
| spellingShingle | Lesley Wolk Spastic Dysphonia: A case report South African Journal of Communication Disorders |
| title | Spastic Dysphonia: A case report |
| title_full | Spastic Dysphonia: A case report |
| title_fullStr | Spastic Dysphonia: A case report |
| title_full_unstemmed | Spastic Dysphonia: A case report |
| title_short | Spastic Dysphonia: A case report |
| title_sort | spastic dysphonia a case report |
| url | https://sajcd.org.za/index.php/sajcd/article/view/360 |
| work_keys_str_mv | AT lesleywolk spasticdysphoniaacasereport |