Diagnosis and Management of Psychogenic Stridor Caused by a Conversion Disorder

PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 315-317
Author(s):  
ROSE GEIST ◽  
SUSAN E. TALLETT
Keyword(s):  
Vocal Cord ◽  
Older Women ◽  
Young Women ◽  
Upper Airway ◽  
Conversion Disorder ◽  
Female Adolescent ◽  
Male Adolescents ◽  
Vocal Cord Motion ◽  
Adolescents And Adults ◽  
Underlying Mechanisms

Psychogenic stridor, a recently reported cause of acute upper-airway obstruction, is also known as paradoxical vocal cord motion.1-3 Although reported to occur predominantly among young women,1,2 it has been recognized in both male adolescents and adults,3 as well as in older women.4,5 Several authors1,3,4,6 have associated psychogenic stridor with conversion disorder, but few have included a discussion of the diagnostic criteria or elaborated on the underlying mechanisms of the conversion process. In the case of a female adolescent with a diagnosis of paradoxical vocal cord motion presented here, we have included a discussion of the diagnostic psychological criteria. We also present the combined psychophysiological approach we used to identify and release the underlying affect, which resulted in the complete, immediate, and to date, lasting remittance of our patient's symptoms.

Clinical Success Using the Audio-Visual Feedback Training for Cluttering

2019 ◽  
Vol 4 (6) ◽  
pp. 1589-1594
Author(s):  
Yvonne van Zaalen ◽  
Isabella Reichel
Keyword(s):  
Visual Feedback ◽  
Clinical Success ◽  
Pause Duration ◽  
Digital Audio ◽  
Male Adolescents ◽  
Feedback Training ◽  
Positive Effects ◽  
Speech Monitoring ◽  
Adolescents And Adults

Purpose Among the best strategies to address inadequate speech monitoring skills and other parameters of communication in people with cluttering (PWC) is the relatively new but very promising auditory–visual feedback (AVF) training ( van Zaalen & Reichel, 2015 ). This study examines the effects of AVF training on articulatory accuracy, pause duration, frequency, and type of disfluencies of PWC, as well as on the emotional and cognitive aspects that may be present in clients with this communication disorder ( Reichel, 2010 ; van Zaalen & Reichel, 2015 ). Methods In this study, 12 male adolescents and adults—6 with phonological and 6 with syntactic cluttering—were provided with weekly AVF training for 12 weeks, with a 3-month follow-up. Data was gathered on baseline (T0), Week 6 (T1), Week 12 (T2), and after follow-up (T3). Spontaneous speech was recorded and analyzed by using digital audio-recording and speech analysis software known as Praat ( Boersma & Weenink, 2017 ). Results The results of this study indicated that PWC demonstrated significant improvements in articulatory rate measurements and in pause duration following the AVF training. In addition, the PWC in the study reported positive effects on their ability to retell a story and to speak in more complete sentences. PWC felt better about formulating their ideas and were more satisfied with their interactions with people around them. Conclusions The AVF training was found to be an effective approach for improving monitoring skills of PWC with both quantitative and qualitative benefits in the behavioral, cognitive, emotional, and social domains of communication.

scholarly journals Paradoxical Vocal Cord Motion—a Dangerous Imitator of Airway Emergencies

2007 ◽  
Vol 35 (1) ◽  
pp. 105-109 ◽  
Author(s):  
A. Harmon ◽  
D. C. S. Khursandi
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Motion

Lack of Evoked Laryngeal Electromyography Response in Patients with a Clinical Diagnosis of Vocal Cord Paralysis

2001 ◽  
Vol 110 (9) ◽  
pp. 815-819 ◽  
Author(s):  
Edward J. Damrose ◽  
Keith E. Blackwell ◽  
Robert Y. Huang ◽  
Joel A. Sercarz ◽  
Joel H. Blumin ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Compound Muscle Action Potential ◽  
Constant Current ◽  
Control Group ◽  
Vocal Cord Motion ◽  
Muscle Action Potential ◽  
Evoked Electromyography ◽  
Laryngeal Reinnervation ◽  
Recent Debate

There has been recent debate about whether patients with vocal cord immobility have a neurologic paralysis or whether synkinesis, the misdirection of axons to competing laryngeal muscles, is responsible for the lack of voluntary vocal cord motion. This issue was studied in 15 patients with vocal cord paralysis who underwent laryngeal reinnervation. Evoked electromyography was performed with a surface electrode endotracheal tube. The recurrent laryngeal nerve (RLN) was identified and stimulated with constant current. Of the 15 patients, only 1 produced a compound muscle action potential upon nerve stimulation. The remaining 14 patients had no evoked response during RLN stimulation. a control group of 8 patients with normal vocal cord mobility was studied, and each had a normal evoked electromyography response after RLN stimulation. These results support the assertion that patients who require treatment for vocal cord paralysis do not have synkinesis produced by RLN reinnervation.

CERVICAL CANCER AMONG 39 YEARS OR YOUNGER FEMALES IN SOUTH INDIA; A RETROSPECTIVE STUDY

2021 ◽  
pp. 15-17
Author(s):  
B Ramkumar ◽  
Srigopal Mohanty ◽  
Kiranmayee Narapaneni ◽  
Amit Saklani ◽  
J Kannan
Keyword(s):  
Cervical Cancer ◽  
Retrospective Study ◽  
Older Women ◽  
Young Women ◽  
Clinicopathological Characteristics ◽  
Categorical Variables ◽  
Chi Square ◽  
Younger Women ◽  
Ciency Virus ◽  
Chi Square Test

Background: Cervical cancer in young women is rare and disparity exists in its characteristics in the available reports. The study aimed to determine the disease burden and to compare its clinicopathological characteristics with older women. Materials and methods: Retrospective study was performed by retrieving data from the cancer registry for consecutive 843 cervical cancer patients treated in the center between 2017 and 2020. Patients were divided into younger (<40 years) and older (≥ 40 years) age. Statistical analysis was performed using SPSS software version 23 for windows. Chi square test was used for analyzing the categorical variables and P < 0.05 was considered signicant. Results: Cervical cancer in young women constituted 9.4%, with majority (96.2%) belonged to 30-39 years age. Higher prevalence of human immunodeciency virus (HIV) was found among younger compared to older women (P = 0.000). Younger women commonly presented late compared to older women (patients presented after 4 months are 49.4% vs. 18.8% respectively, P=0.000). Squamous cell carcinoma was commonest histology in both the groups and no difference in histology pattern between the two groups. Younger women had higher rate of bulky tumor (>4cm) compared to older (62.2% vs. 44.4%, P = 0.023). Conclusion: Delayed and advanced stage of presentation of cervical cancer in younger women in this region of India warrants promotion of health education, knowledge translation, regular cervical cancer screening for its prevention and early detection

Paradoxical vocal cord motion disorder - An unexpected mimicker of bronchial asthma

2015 ◽  
Vol 5 (1) ◽  
pp. 17
Author(s):  
AbdulWadood Mohammed ◽  
PearlSara George ◽  
Kasim Kolakkadan ◽  
Jishnu Narayanan ◽  
Deepak Raj
Keyword(s):  
Vocal Cord ◽  
Bronchial Asthma ◽  
Vocal Cord Motion

scholarly journals Greater Influence of Aerobic Fitness on Autonomic Support of Blood Pressure in Young Women Than in Older Women

Hypertension ◽  
2020 ◽  
Vol 75 (6) ◽  
pp. 1497-1504 ◽  
Author(s):  
Sarah E. Baker ◽  
Jacqueline K. Limberg ◽  
Zachariah M. Scruggs ◽  
Timothy B. Curry ◽  
Wayne T. Nicholson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Women ◽  
Young Women ◽  
Aerobic Fitness ◽  
Autonomic Support

The pattern of dialogue in compliance seeking situations when conflict is possible:A preliminary study involving adolescents and adults

2005 ◽  
Vol 22 (1) ◽  
pp. 5-21 ◽  
Author(s):  
Terry Bowles
Keyword(s):  
Structured Interviews ◽  
Male Adolescents ◽  
Patterns Of Communication ◽  
Adolescents And Adults ◽  
Interview Format ◽  
Males And Females ◽  
Preliminary Study ◽  
The Individual ◽  
Recurrent Patterns ◽  
Insight Into

AbstractPatterns of communication are commonly referred to in the language and communication literature particularly with adult samples. In this research 50 female and 30 male adolescents and adults participated in in-depth, structured interviews about their patterns of communication. Research typically defines such patterns in reference to the dominant style of the individual or group. Implied in the attribution of a dominant style is the idea that dominance is associated with recurrence. The recurrent patterns of communication have not been investigated in relation to the focus of the communication and the sex of the respondent. In the present research respondents were interviewed about the iterative process involved in their communication with other adolescents and adults. It was expected that a recurrent, sequential pattern of the focus of communication factors would emerge. Six naturally emerging factors emerged from the data, the most frequent being on task, conceding and succeeding. These categories were used in an ordered manner at various times in the dialogues described. Findings also showed patterned similarities and differences in the communication of males and females when they were communicating with adolescents and adults. Importantly, the interview format of this research provided insight into the use of confusion as a strategy in communication.

Post-anesthesia Paradoxical Vocal Cord Motion Successfully Treated with Midazolam 

1998 ◽  
Vol 89 (2) ◽  
pp. 517-519 ◽  
Author(s):  
Kevin W. Robert ◽  
Anica Crnkovic ◽  
Joseph Steiniger
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Motion

S183 – Intracordal Fat Assessment after Injection Laryngoplasty

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P137-P137
Author(s):  
Tuan-Jen Fang ◽  
Chao-Jan Wang ◽  
Hsueh-Yu Li
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Upper Airway ◽  
Fat Injection ◽  
Long Term Outcomes ◽  
Autologous Fat ◽  
The Mean ◽  
Fat Volume ◽  
Unilateral Vocal Cord Paralysis

Objectives Autologous fat injection for unilateral vocal cord paralysis is a popular procedure for immediate symptoms control, but uneven long-term outcomes were reported. Most authors believed that the continual resorption of injected fat was the cause of voice degradation. A long-term residual fat volume was evaluated. Methods We retrospectively reviewed the patients following autologous fat injection for symptomatic unilateral vocal cord paralysis from 2002 Aug to 2006 July. The patients accepted head and neck computed tomogragphy (CT) evaluation following surgery were included. A three-dimensional reconstruction of the images of larynx and upper airway was performed on the work station (Vitrea® 2, version 3.9). The volume of intracordal fat was then calculated. Results 5 males and 15 females of the mean age 49 were enrolled. The mean duration from lipoinjection surgery to the CT study is 23.0 months (12–50 months). The injection fat was found in all study cases. The estimated fat volume ranged from 0.01 to 0.75 ml with a mean 0.33 ml. Compare with the injected fat volume, a mean 27.5% fat survived. The correlation between residual fat volume rate and duration of follow-up is not significant. Conclusions The intracordal fat volume didn't decline from time. Long-term intracordal injected fat diminished but survived in all cases. The degradation may be caused by absorption or immediate extrusion from injection wound. An over-correction and prevention of extrusion postoperatively would improve the long-term outcomes.

Sign in / Sign up

Export Citation Format

Share Document