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功能性言语和嗓音障碍:病例系列与文献综述

Functional Speech and Voice Disorders: Case Series and Literature Review.

作者信息

Chung David S, Wettroth Chelsea, Hallett Mark, Maurer Carine W

机构信息

Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke National Institutes of Health Bethesda MD.

Department of Neurology Stony Brook University School of Medicine Stony Brook NY.

出版信息

Mov Disord Clin Pract. 2018 Apr 6;5(3):312-316. doi: 10.1002/mdc3.12609. eCollection 2018 May-Jun.

Abstract

BACKGROUND

Functional disorders of speech and voice, subtypes of functional movement disorders, represent abnormalities in speech and voice that are thought to have an underlying psychological cause. These disorders exhibit several positive and negative features that distinguish them from organic disorders.

METHODS AND RESULTS

We describe the clinical manifestations of functional disorders of speech and voice, and illustrate these features using six clinical cases.

CONCLUSIONS

Functional disorders of speech and voice may manifest in a variety of ways, including dysphonia, stuttering, or prosodic abnormalities. Given that these disorders have been understudied and may resemble organic disorders, diagnosis may be challenging. Appropriate treatment may be quite effective, highlighting the importance of prompt and accurate diagnosis.

摘要

背景

言语和嗓音功能障碍是功能性运动障碍的亚型,表现为言语和嗓音异常,被认为存在潜在的心理原因。这些障碍具有一些区别于器质性障碍的阳性和阴性特征。

方法与结果

我们描述了言语和嗓音功能障碍的临床表现,并通过六个临床病例来说明这些特征。

结论

言语和嗓音功能障碍可能以多种方式表现出来,包括发音障碍、口吃或韵律异常。鉴于这些障碍研究不足且可能类似于器质性障碍,诊断可能具有挑战性。适当的治疗可能相当有效,这突出了及时准确诊断的重要性。

相似文献

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Functional Speech and Voice Disorders: Case Series and Literature Review.功能性言语和嗓音障碍:病例系列与文献综述
Mov Disord Clin Pract. 2018 Apr 6;5(3):312-316. doi: 10.1002/mdc3.12609. eCollection 2018 May-Jun.
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Speech and voice disorders in patients with psychogenic movement disorders.精神性运动障碍患者的言语和嗓音障碍
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本文引用的文献

1
Functional (psychogenic) stereotypies.功能性(心因性)刻板动作
J Neurol. 2017 Jul;264(7):1482-1487. doi: 10.1007/s00415-017-8551-7. Epub 2017 Jun 26.
6
Functional foreign accent syndrome.功能性外国口音综合征。
Pract Neurol. 2016 Oct;16(5):409-11. doi: 10.1136/practneurol-2016-001376. Epub 2016 May 27.
7
Functional dysphonia: strategies to improve patient outcomes.功能性发声障碍:改善患者预后的策略
Patient Relat Outcome Meas. 2015 Dec 1;6:243-53. doi: 10.2147/PROM.S68631. eCollection 2015.
8
Speech and voice disorders in patients with psychogenic movement disorders.精神性运动障碍患者的言语和嗓音障碍
J Neurol. 2015 Nov;262(11):2420-4. doi: 10.1007/s00415-015-7856-7. Epub 2015 Jul 21.

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