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AB & AD Spasmodic dysphonia

Discussion in 'Ask Jack' started by Jack Kruse, Oct 24, 2021.

  1. Jack Kruse

    Jack Kruse Administrator

    Dystonia of the larynx is known as spasmodic dysphonia and there are two types: adductor and abductor (video)

    Both occur more often in women, with an average age at onset of 39 years.

    The more common, adductor spasmodic dysphonia, is characterized by involuntary, irregular adduction of the vocal cords during phonation, producing an effortful, strangled, strained quality to the voice with irregular vocal breaks. Abductor spasmodic dysphonia is characterized by a breathy, effortful voice with aphonic whispered segments. In both types, there is often a dramatic improvement in the voice during shouting, whispering, or singing.

    The current treatment of choice for spasmodic dysphonia is botulinum toxin to lower the muscle contraction.

    I think calcium ion influx (mito damage), Vitamin D levels, use of powerful PBM, aggressive dopamine treatments should be considered in recalcitrant cases.
  2. Thanks, Jack! Do you have some suggestions on what aggressive dopamine treatments would be? I've emailed Kristy to set up a consult also.

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