一例罕见的与神经梅毒相关的喉肌张力障碍：肉毒毒素注射治疗的反应。

A rare case of laryngeal dystonia associated with neurosyphilis: Response to botulinum toxin injection.

机构信息

Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA.

出版信息

Laryngoscope. 2011 Jan;121(1):147-9. doi: 10.1002/lary.21160.

Abstract

We report a unique case of laryngeal dystonia in a 43-year-old male with neurosyphilis who underwent successful treatment with botulinum toxin injection. To date there have been no reports of laryngeal dystonia associated with neurosyphilis. The patient initially presented with strained and stuttering voice despite systemic penicillin therapy. After 2 months of speech therapy with limited relief, the patient received botulinum toxin injection to each thyroarytenoid muscle. Postinjection videostroboscopy showed marked improvement of voice quality.

摘要

我们报告了一例神经梅毒引起的独特的喉痉挛病例，该患者为 43 岁男性，经肉毒毒素注射治疗后获得成功。迄今为止，尚无神经梅毒相关喉痉挛的报道。尽管患者接受了全身青霉素治疗，但最初仍表现为紧张和口吃的声音。经过 2 个月的语音治疗，效果有限，随后患者接受了每侧甲状杓肌的肉毒毒素注射。注射后频闪喉镜显示声音质量明显改善。