Speech–Language Pathology Evaluation and Management of Hyperkinetic
                        Disorders Affecting Speech and Swallowing Function

Barkmeier-Kraemer, Julie; Clark, Heather M.

doi:10.5334/tohm.381

Cited by 44 publications

(20 citation statements)

References 80 publications

(184 reference statements)

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“…Phono-articulatory changes in dystonia patients are generally classified as hyperkinetic dysarthrophonia 18 , 20 - 22 . In our study, complaints of voice changes were observed in 55.6% of study subjects.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, interruption of the continuous airflow for sustained vocalization can also promote constant breaks in sonority, thus affecting the intelligibility and quality of communication. However, variations in pitch or loudness, inappropriate pauses, hyper or hyponasality, articulatory inaccuracy, and reduced speech rate are characteristic of hyperkinetic dysarthrophonia 18 , 22 - 25 . Although dysarthrophonia is apparently unrelated to swallowing changes, they maintain a close relationship because the same muscles are involved in these two vital functions.…”

Section: Discussionmentioning

confidence: 99%

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Specific characteristics of the medical history of swallowing before and after application of botulinum toxin in patients with cervical dystonia

Vilanova¹,

Borges²,

Ferraz³

2019

Clinics

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OBJECTIVES:To compare signs and symptoms of dysphagia in individuals with cervical dystonia (CD) before and after application of botulinum toxin (BTX).METHODS:A prospective study was conducted with 20 patients diagnosed with CD with indications for BTX application. We selected 18 patients who met the study inclusion criteria. All individuals were patients from the Movement Disorders Unit, Department of Neurology, Federal University of São Paulo. BTX was applied in the cervical region at the necessary dose for each individual. To identify signs/complaints of changes in swallowing, we used a specific questionnaire that was completed by patients and/or their companions on the day of BTX injection and repeated 10 to 15 days after BTX injection.RESULTS:Among the 18 study subjects, 15 (83.3%) showed primary and three (16.7%) showed secondary cervical dystonia. The most frequent dystonic movements were rotation (18), tilt (5), forward shift (3), backward shift (7), shoulder elevation (12), shoulder depression (2), and cervical tremor (6). The main complaints reported before BTX application were voice changes in 10 (55.6%), need for adjustment of eating position in 10 (55.6%), coughing and/or choking while eating in nine (50%), and increased eating time in nine (50%) individuals. The main complaints reported after BTX application were coughing and/or choking while eating in 11 (61.1%), voice changes in nine (50%), sensation of food stuck in the throat in eight (44%), and increased eating time in eight (44%) individuals.CONCLUSION:The administration of a swallowing-specific questionnaire to individuals with CD before and after BTX application enabled the identification of possible dysphagia symptoms prior to drug treatment resulting from CD, which are often subsequently interpreted as side effects of the drug treatment. Thus, dysphagia can be managed, and aspiration symptoms can be prevented.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Specific characteristics of the medical history of swallowing before and after application of botulinum toxin in patients with cervical dystonia

Vilanova¹,

Borges²,

Ferraz³

2019

Clinics

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“…Bei einer Dysarthrophonie sollte die Selbsteinschätzung des Patienten im Hinblick auf die Auswirkung des beeinträchtigten Sprechens auf den Alltag routinemäßig erfasst werden [39]. Bei Morbus Parkinson können schon leichte Dysarthrophonien zu negativen Einstellungen, gar zu Diskriminierungen durch Kommunikationspartner führen [40]. Patienten mit Morbus Parkinson, die ihre Sprachverständlichkeit schlechter einschätzten, gaben auch eine geringere Lebensqualität an [41,42].…”

Section: Dysarthrophonieunclassified

Gesundheitsbezogene Lebensqualität bei Stimm- und Aussprachestörungen

Keilmann¹,

Rosanowski²

2021

Sprache · Stimme · Gehör

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“…Two types of palatal myoclonus have been described: a symptomatic form attributable to a pathologic lesion involving the brainstem or cerebellum often identified on MRI imaging, and an essential form without an identifiable structural cause [2]. Palato-pharyngo-laryngeal myoclonus is a rare variant of palatal myoclonus affecting not only the palate but the pharynx and larynx as well, which may result in dysphagia, dysphonia, and dysarthria [3][4][5]. Upon review of the current literature, there are minimal, if any, gastrointestinal (GI) symptoms reported by patients with this condition.…”

Section: Introductionmentioning

confidence: 99%

Palato-pharyngo-laryngeal myoclonus with recurrent retrograde feeding tube migration after cerebellar hemorrhagic stroke: a case report and review of hypertrophic olivary degeneration

et al. 2020

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Background: Palato-pharyngo-laryngeal myoclonus, a variant of palatal myoclonus, is characterized by involuntary rhythmic movements of palatal, pharyngeal, and laryngeal muscles. Symptomatic palatal myoclonus is classically associated with hypertrophic olivary degeneration on MRI imaging due to a lesion in the triangle of Guillain-Mollaret. Case presentation: We report a case of palato-pharyngo-laryngeal myoclonus in a patient post-cerebellar hemorrhagic stroke who presented with recurrent retrograde migration of his gastrojejunostomy feeding tubes. Treatment with either divalproex sodium or gabapentin resulted in a significant decrease in his gastrointestinal symptoms and no further episodes of gastrojejunostomy tube migration. Conclusions: This case study indicates that the movement disorder associated with hypertrophic olivary degeneration may involve the gastrointestinal system. Anticonvulsants, such as gabapentin and divalproex sodium, may reduce the severity of gastrointestinal symptoms in cases associated with hypertrophic olivary degeneration. The anatomy of the Guillain-Mollaret triangle and the pathophysiology of hypertrophic olivary degeneration are reviewed.

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Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Cited by 44 publications

References 80 publications

Specific characteristics of the medical history of swallowing before and after application of botulinum toxin in patients with cervical dystonia

Specific characteristics of the medical history of swallowing before and after application of botulinum toxin in patients with cervical dystonia

Gesundheitsbezogene Lebensqualität bei Stimm- und Aussprachestörungen

Palato-pharyngo-laryngeal myoclonus with recurrent retrograde feeding tube migration after cerebellar hemorrhagic stroke: a case report and review of hypertrophic olivary degeneration

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