In order to assess the clinical utility of trigemino-facial reflexes in lower facial muscles, we studied perioral reflexes to mechanical and electrical stimulation in 13 patients with spasmodic dysphonia and orofacial dyskinesia and in 7 healthy subjects. Mechanical stimulation of the upper lip of a
Brainstem pathology in spasmodic dysphonia
โ Scribed by Kristina Simonyan; Christy L. Ludlow; Alexander O. Vortmeyer
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 157 KB
- Volume
- 120
- Category
- Article
- ISSN
- 0023-852X
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โฆ Synopsis
Abstract
Spasmodic dysphonia (SD) is a primary focal dystonia of unknown pathophysiology, characterized by involuntary spasms in the laryngeal muscles during speech production. We examined two rare cases of postmortem brainstem tissue from SD patients compared to four controls. In the SD patients, small clusters of inflammation were found in the reticular formation surrounding solitary tract, spinal trigeminal, and ambigual nuclei, inferior olive, and pyramids. Mild neuronal degeneration and depigmentation were observed in the substantia nigra and locus coeruleus. No abnormal protein accumulations and no demyelination or axonal degeneration were found. These neuropathological findings may provide insights into the pathophysiology of SD. Laryngoscope, 2010
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