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Velopharyngeal Dystonia: An Unusual Focal Task-specific Dystonia? Cover

Velopharyngeal Dystonia: An Unusual Focal Task-specific Dystonia?

Open Access
|Jul 2017

Figures & Tables

Video Segment 1

Case 1 Initial Evaluation. The patient has a thick, hypernasal voice. Hard consonant sounds are particularly difficult and connected speech is preferentially affected. Sustained vowel phonation is unaffected.

Video Segment 2

Case 1 Post-treatment Follow-up. Three months after treatment with trihexyphenidyl 4 mg three times a day, the patient displayed reduced hypernasality and consonant-specific guttural dysarthria.

Video Segment 3

Case 2 Initial Evaluation. The patient has a simultaneously breathy and hypernasal quality to speech. Changing voice pitch or utilizing a sensory trick improves speech quality transiently.

Video Segment 4

Case 2 Post-treatment Follow-up. Two months after treatment with trihexyphenidyl 2 mg three times a day, the patient had improved tone production, though the hypernasal quality of speech remained.

DOI: https://doi.org/10.5334/tohm.353 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 4, 2016
Accepted on: Jun 28, 2017
Published on: Jul 11, 2017
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2017 Amar S. Patel, Lucian Sulica, Steven J. Frucht, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.