A case of superior laryngeal nerve paresis and psychogenic dysphonia.
A psychogenic voice disorder co-occurred or evolved with the symptoms and signs of unilateral superior laryngeal nerve paresis. We speculated that the former was a manifestation of a musculoskeletal tension or conversion reaction disorder, whereas the latter was a sequela to a self-limiting inflammatory process. Voice therapy proved effective for alleviating the psychogenic dysphonia after the signs of the neuropathy had resolved, whereas psychotherapy offered strategies for stress management. A multidisciplinary approach to this patient provided for differential diagnosis and efficacious treatment.
Hartman
D E
DE
Department of Neurology, Gundersen Clinic Ltd., La Crosse, WI.
Daily
W W
WW
Morin
K N
KN
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D012064:Relaxation Therapy; D013070:Speech Therapy; D013315:Stress, Psychological / Q000150:complications / Q000628:therapy; D014826:Vocal Cord Paralysis / Q000150:complications*; D014832:Voice Disorders / Q000209:etiology* / Q000628:therapy