Hysterical aphonia--an analysis of 25 cases. (1/9)

Hysteria is a common neurotic disorder in psychiatric practice. Many of its conversion symptoms have not been studied in detail. In the present prospective study in a tertiary care teaching hospital, 25 cases of hysterical aphonia were analysed. There were 17 females and 8 males. Mean age of presentation was 18.4 years in females and 21.2 years in males. Majority of patients were literate upto primary class, belonging to joint family and had urban background. Duration of symptoms was within 2 weeks. Most common precipitating factor was stress of examination or failure followed by quarrels with peers or spouse. In 20% cases, cause was not known. Comorbid psychiatric disorders were found in 80% cases, the most common being mixed anxiety and depressive disorder (36%) followed by generalized anxiety disorder (20%).  (+info)

Is hysteria still prevailing? A retrospective study of sociodemographic and clinical characteristics. (2/9)

A retrospective study was conducted in a psychiatric setup of S.P. Medical College, Bikaner (Raj.) to assess the social demographic and clinical characteristics of hysterical patients. The illness was more common in female patients. Most of the patients were young, married and illiterate. Nearly half of them had faced some stress prior to onset of their illness. Fits of unconsciousness and aphonia were the commonest presentation in female and male patients respectively. Duration of stay was 2-3 days and most of the patient responded well to different treatment modalities.  (+info)

Progressive anarthria with secondary parkinsonism: a clinico-pathological case report. (3/9)

The pathological process and lesion topography in patients with the syndrome of progressive aphasia are heterogeneous and few necropsy examination cases have been investigated. This is a case report of a 53 year old right handed man with progressive anarthria and secondary Parkinsonism over a period of six years. Positron emission tomography (PET) showed a decreased cerebral blood flow and metabolism in the frontal cortex, which was more pronounced on the left. Neuropathology disclosed a spongiform vacuolation in layer II of the frontal cortex, mostly in the Broca area, and neuronal loss in the substantia nigra. This original case reinforces the view that there are different entities of the syndrome of progressive aphasia which can be identified on the basis of clinical, neuroimaging and anatomical data.  (+info)

Psychogenic aphonia: no fixation even after a lengthy period of aphonia. (4/9)

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Surgical voice restoration after total laryngectomy: an overview. (5/9)

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The modification and generalization of voice loudness in a fifteen-year-old retarded girl. (6/9)

A fifteen-year-old severely disturbed girl was treated for aphonia. Because of the extent of her withdrawal, the subject was conditioned in a laboratory setting and received tokens for speaking loudly enough to operate a voice-operated relay. Conditioning at first consisted of saying 100 monosyllabic words, with the possibility of reinforcement on each word. Later, the subject was required to say a polysyllabic word, and finally, five or six words per token. The subject was shaped to speak with normal loudness in the laboratory, and generalization to a reading situation in the laboratory was measured and observed to occur, at first for a few minutes, and later for a longer period. Generalization to a reading situation in the classroom did not occur, but the subject's voice loudness also increased in the classroom when several new reinforcement contingencies were put into effect there.  (+info)

Bulbar symptoms and episodic aphonia associated with atlanto-occipital subluxation in ankylosing spondylitis. (7/9)

A patient with intermittent aphonia associated with atlanto-occipital subluxation due to ankylosing spondylitis is presented and discussed. The only other case from the literature is reviewed and compared with our patient, where symptoms and signs of episodic low bulbar disease, presumably due to intermittent vascular insufficiency, were relieved by external bracing.  (+info)

Rehabilitation of paralytic dysphonia. (8/9)

Vocal rehabilitation has been successful for patients with paralytic dysphonia. At the discretion of the laryngologist, vocal rehabilitation is used alone or in combination with intracordal injection. Except for post-surgical patients, a complete diagnostic evaluation is advisable before vocal therapy is undertaken. During vocal rehabilitation, pitch, volume, quality, breath support and the vocal image are realigned to afford an optimal and efficient voice. For the 18 patients completing vocal therapy, the results were excellent in 14 and good in four. Vocal therapy was completed within six months for 11 patients; seven were treated for periods ranging from six months to a year.  (+info)

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