Laryngeal botulinum toxin injections for disabling stuttering in adults.

Abstract:

:Stuttering is an action-induced speech disorder with involuntary, audible, or silent repetitions or prolongations in the utterance of short speech elements (sounds, syllables) and words. Symptomatic treatment programs frequently have initial success; persistent benefit is variable and many patients remain disabled. Stuttering has many characteristics similar to spasmodic dysphonia (laryngeal dystonia), often including the presence of adductor laryngeal spasms that obstruct airflow (glottal block). We hypothesized that relief of the spasmodic dysphonic glottal blocks in stutterers would modify the stuttering phenomenon and increase fluency. We therefore studied the effects of bilateral vocal fold injections of botulinum toxin type A (BTX) on dysfluency and speech characteristics in stuttering. We treated 14 adult patients (12 men, 2 women) with persistent stuttering and glottal block who previously failed standard speech therapy with 1.25 U BTX into each thyroarytenoid (vocalis) muscle. Fluency evaluations included the Stuttering Severity Instrument, the Perceptions of Stuttering Inventory, and a global rating scale (percent of normal function). Patients were evaluated at baseline and at 2-, 6-, and 12-week follow-up visits. Improvement in fluency documented by each rating instrument occurred at 2 and 6 weeks, with functional relapse by 12 weeks in most patients. We conclude that therapeutic laryngeal injections of botulinum toxin are useful in the management of stuttering with glottal block and result in a moderate improvement in fluency. When an adult patient with developmental stuttering with glottal blocks has failed speech interventional therapy and presents for treatment, a trial of BTX can be considered early.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Neurology

journal_title

Neurology

authors

Brin MF,Stewart C,Blitzer A,Diamond B

doi

10.1212/wnl.44.12.2262

subject

Has Abstract

pub_date

1994-12-01 00:00:00

pages

2262-6

issue

12

eissn

0028-3878

issn

1526-632X

journal_volume

44

pub_type

临床试验,杂志文章
  • Multiple sclerosis among utility workers.

    abstract::The incidence of MS was assessed in a nationwide cohort study of 31,990 employees of Danish utility companies between 1900 and 1993. Overall, 32 cases of MS were diagnosed, as compared with 23.7 expected from national incidence rates, to yield a standardized incidence ratio of 1.35 (95% confidence interval, 0.92 to 1....

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.6.1279

    authors: Johansen C,Koch-Henriksen N,Rasmussen S,Olsen JH

    更新日期:1999-04-12 00:00:00

  • Opioidergic changes in the pineal gland and hypothalamus in cluster headache: a ligand PET study.

    abstract::Using PET with the opioidergic ligand [11C]diprenorphine, the authors demonstrate decreased tracer binding in the pineal gland of cluster headache patients vs healthy volunteers. Opioid receptor availability in the hypothalamus and cingulate cortex depended on the duration of the headache disorder. Therefore, the path...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000204225.15947.f8

    authors: Sprenger T,Willoch F,Miederer M,Schindler F,Valet M,Berthele A,Spilker ME,Förderreuther S,Straube A,Stangier I,Wester HJ,Tölle TR

    更新日期:2006-04-11 00:00:00

  • Prevalence and severity of dementia among northern Italian centenarians.

    abstract::Using diagnostic criteria from the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, dementia was clinically diagnosed in 57 (62%) of 92 centenarians living in two northern Italian provinces. The condition was severely disabling in approximately 70% of the demented patients. Although clinica...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.2.416

    authors: Ravaglia G,Forti P,De Ronchi D,Maioli F,Nesi B,Cucinotta D,Bernardi M,Cavalli G

    更新日期:1999-07-22 00:00:00

  • Speech without conscious awareness.

    abstract::Following commissurotomy, it is usually the case that information presented to the left hemisphere can be named and described, while information presented to the mute, right hemisphere cannot be spoken about. In the present study, it was discovered that under special test conditions, an MRI-verified, callosally sectio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.4.682

    authors: Gazzaniga MS,Holtzman JD,Smylie CS

    更新日期:1987-04-01 00:00:00

  • Recent cases of intracranial tuberculomas.

    abstract::While intracranial tuberculomas have become uncommon in industrial nations, 12 patients with signs and symptoms of an intracranial mass lesion were recently found to have tuberculomas. Clinical findings suggestive of tuberculosis were frequently subtle or absent. Five patients did not have extracranial tuberculosis. T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.3.256

    authors: Mayers MM,Kaufman DM,Miller MH

    更新日期:1978-03-01 00:00:00

  • Quantitative computed tomography in dementia of the Alzheimer type.

    abstract::Men and women with dementia of the Alzheimer type (DAT) had more brain atrophy and ventricular dilatation, measured by quantitative CT, than did respective age- and sex-matched healthy controls (p less than 0.05). The male DAT patients with mild dementia had a larger mean third ventricle volume, whereas male patients ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.12.1563

    authors: Creasey H,Schwartz M,Frederickson H,Haxby JV,Rapoport SI

    更新日期:1986-12-01 00:00:00

  • The Workforce Task Force report: clinical implications for neurology.

    abstract::The American Academy of Neurology Workforce Task Force (WFTF) report predicts a future shortfall of neurologists in the United States. The WFTF data also suggest that for most states, the current demand for neurologist services already exceeds the supply, and by 2025 the demand for neurologists will be even higher. Th...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e31829d8783

    authors: Freeman WD,Vatz KA,Griggs RC,Pedley T

    更新日期:2013-07-30 00:00:00

  • Determinants of brain iron in multiple sclerosis: a quantitative 3T MRI study.

    abstract:OBJECTIVES:Abnormal high cerebral iron deposition may be implicated in chronic neurologic disorders, including multiple sclerosis (MS). R2* relaxometry has been recently validated in a postmortem study to indicate brain iron accumulation in a quantitative manner. We used this technique to assess brain iron levels in di...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318236ef0e

    authors: Khalil M,Langkammer C,Ropele S,Petrovic K,Wallner-Blazek M,Loitfelder M,Jehna M,Bachmaier G,Schmidt R,Enzinger C,Fuchs S,Fazekas F

    更新日期:2011-11-01 00:00:00

  • Delivery of active hexosaminidase across the blood-brain barrier in rats.

    abstract::The ability to deliver enzymatically active human hexosaminidase A across the blood-brain barrier and into brain cells of the normal rat was examined. Following osmotic blood-brain barrier modification in the rat, intraarterially administered human hexosaminidase A and B were shown to cross the barrier and enter brain...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.8.1012

    authors: Neuwelt EA,Barranger JA,Pagel MA,Quirk JM,Brady RO,Frenkel EP

    更新日期:1984-08-01 00:00:00

  • Capecitabine-induced multifocal leukoencephalopathy: a report of five cases.

    abstract::Capecitabine is used to treat advanced breast and gastrointestinal malignancies. A single case of encephalopathy and three cases of peripheral neuropathy are the only neurotoxicities reported. The authors report five additional cases of capecitabine-induced multifocal leukoencephalopathy. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000187313.83515.7e

    authors: Videnovic A,Semenov I,Chua-Adajar R,Baddi L,Blumenthal DT,Beck AC,Simuni T,Futterer S,Gradishar W,Tellez C,Raizer JJ

    更新日期:2005-12-13 00:00:00

  • Prevalence of MRI abnormalities in people with epilepsy in rural China.

    abstract:OBJECTIVE:To assess the prevalence of brain MRI abnormalities in people with epilepsy in rural China and to compare it with that of individuals in the United Kingdom. METHODS:Brain MRI scans were obtained in people with epilepsy who participated in a rural community-based program in China between July 2010 and Decembe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010171

    authors: Davagnanam I,Chen Z,Hoskote C,Ding D,Yang B,Wang Y,Wang T,Li W,Duncan JS,Wang W,Sander JW,Kwan P

    更新日期:2020-09-01 00:00:00

  • Depression in patients with early versus late onset of Parkinson's disease.

    abstract::We examined correlates of depression in patients whose onset of Parkinson's disease (PD) began before age 55 (early-onset group) compared with patients whose onset was after age 55 (late-onset group). The early-onset group showed a significantly higher frequency of depression than the late-onset group. When both group...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.11.1441

    authors: Starkstein SE,Berthier ML,Bolduc PL,Preziosi TJ,Robinson RG

    更新日期:1989-11-01 00:00:00

  • Infarction in the anterior rostral cerebellum (the territory of the lateral branch of the superior cerebellar artery).

    abstract::We report 9 patients with an isolated infarct of the anterior part of the rostral cerebellum, ie, the territory of the lateral branch of the superior cerebellar artery. Clinicoanatomic correlations are based on CT, MRI, or both in 8 patients and on pathologic data in the ninth. The main clinical features were ipsilate...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.2_part_1.253

    authors: Amarenco P,Roullet E,Goujon C,Chéron F,Hauw JJ,Bousser MG

    更新日期:1991-02-01 00:00:00

  • A controlled study of progabide in partial seizures: methodology and results.

    abstract::The results of a multicenter, double-blind, placebo-controlled clinical trial of the efficacy and safety of progabide (PGB) in the treatment of partial seizures are presented. This study was performed with a number of rigorous controls not usually present in clinical trials. These included uniform co-medication in whi...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.37.6.963

    authors: Leppik IE,Dreifuss FE,Porter R,Bowman T,Santilli N,Jacobs M,Crosby C,Cloyd J,Stackman J,Graves N

    更新日期:1987-06-01 00:00:00

  • Does platelet antiaggregant therapy lessen the severity of stroke?

    abstract::Data from the Aspirin in Transient Ischemic Attack (AITIA) study, an ongoing study of two platelet antiaggregant drugs, and other published therapeutic trials were reviewed to determine whether the severity of stroke is reduced in patients taking platelet antiaggregants. Data from three of four studies suggest that st...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1212/wnl.35.5.632

    authors: Grotta JC,Lemak NA,Gary H,Fields WS,Vital D

    更新日期:1985-05-01 00:00:00

  • Preclinical cognitive decline and subsequent sleep disturbance in older women.

    abstract:OBJECTIVE:To determine whether longitudinal cognitive decline is associated with increased risk of sleep disturbance in older, nondemented, community-dwelling women. METHODS:We studied 2,474 women (mean age 68.9 years) who were part of a prospective study started in 1986; women with baseline or follow-up evidence of p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000265814.69163.da

    authors: Yaffe K,Blackwell T,Barnes DE,Ancoli-Israel S,Stone KL,Study of Osteoporotic Fractures Group.

    更新日期:2007-07-17 00:00:00

  • APOE epsilon4 and the cognitive genetics of multiple sclerosis.

    abstract:BACKGROUND:Evidence linking APOE to myelin repair, neuronal plasticity, and cerebral inflammatory processes suggests that it may be relevant in multiple sclerosis (MS). The purpose of this study was to determine whether the epsilon4 allele of APOE is associated with cognitive deficits in patients with MS. METHOD:Using...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181e074a7

    authors: Ghaffar O,Reis M,Pennell N,O'Connor P,Feinstein A

    更新日期:2010-05-18 00:00:00

  • Trajectories of brain loss in aging and the development of cognitive impairment.

    abstract:BACKGROUND:The use of volumetric MRI as a biomarker for assessing transitions to dementia presumes that more rapid brain loss marks the clinical transition from benign aging to mild cognitive impairment (MCI). The trajectory of this volume loss relative to the timing of the clinical transition to dementia has not been ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000280577.43413.d9

    authors: Carlson NE,Moore MM,Dame A,Howieson D,Silbert LC,Quinn JF,Kaye JA

    更新日期:2008-03-11 00:00:00

  • Cheiro-oral topography of sensory disturbances due to lesions of thalamocortical projections.

    abstract::Sensory disturbance in the unilateral hand and ipsilateral mouth region, the cheiro-oral syndrome, may be due to cortical, thalamic, or brainstem lesions. We report five patients with this syndrome due to infarction at the border of the posterior limb of the internal capsule and the corona radiata. The sensory fibers ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.1_part_1.51

    authors: Isono O,Kawamura M,Shiota J,Araki S,Hirayama K

    更新日期:1993-01-01 00:00:00

  • Rate of motor response to oral levodopa and the clinical progression of Parkinson's disease.

    abstract::We investigated the relationship between the rate of motor response after a standard levodopa oral dose and drug dynamic variables and disease-related factors in 66 patients with Parkinson's disease. Time to maximum finger tapping effect was positively correlated with matched duration of levodopa dose response and fel...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.4.1055

    authors: Contin M,Riva R,Martinelli P,Triggs EJ,Albani F,Baruzzi A

    更新日期:1996-04-01 00:00:00

  • Pharmacologic treatment of essential tremor.

    abstract::Essential tremor (ET) is a common movement disorder that often causes functional disability, potentially leading to physical and emotional difficulties. The paucity of data available regarding the underlying pathophysiologic mechanism of ET hinders the development of innovative approaches to pharmacotherapeutic treatm...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Koller WC,Hristova A,Brin M

    更新日期:2000-01-01 00:00:00

  • Presymptomatic DNA and MRI diagnosis of neurofibromatosis 2 with mild clinical course in an extended pedigree.

    abstract::Neurofibromatosis 2 (NF2), a dominantly inherited disorder, typically manifests as bilateral vestibular schwannomas and predisposes to other nervous system tumors. In this study, we present a large pedigree with a benign course of NF2 (mild Gardner type) characterized by slowly growing vestibular schwannomas but few o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.7.1314

    authors: Sainio M,Strachan T,Blomstedt G,Salonen O,Setälä K,Palotie A,Palo J,Pyykkö I,Peltonen L,Jääskeläinen J

    更新日期:1995-07-01 00:00:00

  • Effect of white matter lesions on manual dexterity in healthy middle-aged persons.

    abstract:OBJECTIVES:We hypothesized that integrated motor-visual functions measured by manipulative manual dexterity are affected by white matter lesion (WML) burden as measured on cranial MRI across relevant brain regions in subjects at risk of preclinical occult vascular disease. METHODS:A real-time cross-sectional study of ...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000001557

    authors: Nyquist PA,Yanek LR,Bilgel M,Cuzzocreo JL,Becker LC,Chevalier-Davis K,Yousem D,Prince J,Kral BG,Vaidya D,Becker DM

    更新日期:2015-05-12 00:00:00

  • Relation of NSAIDs to incident AD, change in cognitive function, and AD pathology.

    abstract:OBJECTIVE:To examine the relation of nonsteroidal anti-inflammatory drugs (NSAIDs) to incident Alzheimer disease (AD), change in cognition, and AD pathology. METHODS:Participants were 1,019 older Catholic clergy followed up annually for up to 12 years (mean baseline age = 75.0 years, education = 18.1 years, Mini-Menta...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000313813.48505.86

    authors: Arvanitakis Z,Grodstein F,Bienias JL,Schneider JA,Wilson RS,Kelly JF,Evans DA,Bennett DA

    更新日期:2008-06-03 00:00:00

  • Musical murmurs on transcranial ultrasound in childhood migraine with aura.

    abstract::A 12-year-old girl presented with headache, nausea, decreased level of consciousness, and diplopia. Brain MRI, arteriography (figure e-1 on the Neurology® Web site at www.neurology.org), vasculitic markers, and CSF were normal, as were EEGs and ECGs. Transcranial color-coded ultrasonography of the basilar artery revea...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000436064.90018.48

    authors: Kraft P,Müllges W

    更新日期:2013-11-19 00:00:00

  • Cerebral small-vessel disease and progression of brain atrophy: the SMART-MR study.

    abstract:OBJECTIVES:To investigate whether severity and progression of periventricular and deep white matter lesions (WML) and lacunar infarcts were associated with progression of brain atrophy. METHODS:Within the SMART-MR study, a prospective cohort on MRI changes in patients with symptomatic atherosclerotic disease, 565 pati...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182749f02

    authors: Kloppenborg RP,Nederkoorn PJ,Grool AM,Vincken KL,Mali WP,Vermeulen M,van der Graaf Y,Geerlings MI,SMART Study Group.

    更新日期:2012-11-13 00:00:00

  • Intrinsic epileptogenicity of cortical tubers revealed by intracranial EEG monitoring.

    abstract:OBJECTIVE:We sought to identify intracranial EEG patterns characteristic of epileptogenic tubers and to understand the contribution of perituberal cortex. METHODS:Twenty-three intracranial EEG monitoring studies were reviewed from 17 children aged 1.3-7.7 years with tuberous sclerosis complex and intractable multifoca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182768923

    authors: Mohamed AR,Bailey CA,Freeman JL,Maixner W,Jackson GD,Harvey AS

    更新日期:2012-12-04 00:00:00

  • Identification of a negative bitemporal component (N300) of the event-related potentials demonstrated by noncephalic recordings.

    abstract::We studied the scalp distribution of auditory event-related potentials (P300), using simultaneously a cephalic (linked ears) and a noncephalic (balanced sternovertebra) reference. The recordings with noncephalic reference showed that infrequent, attended auditory stimuli evoke a negative bitemporal component (N300) as...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.11.1803

    authors: Neshige R,Lüders H

    更新日期:1988-11-01 00:00:00

  • Quantitative MRI in temporal lobe epilepsy: evidence for fornix atrophy.

    abstract:OBJECTIVE:To investigate whether the fornix and mamillary bodies, being part of the limbic system, are abnormal in patients with mesial temporal lobe epilepsy (MTLE). BACKGROUND:The limbic system comprises the hippocampal formation, fornix, mamillary bodies, thalamus, and other integrated structures. This system is im...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.3.496

    authors: Kuzniecky R,Bilir E,Gilliam F,Faught E,Martin R,Hugg J

    更新日期:1999-08-11 00:00:00

  • Acute late-onset encephalopathy after radiotherapy: an unusual life-threatening complication.

    abstract::Unusual late-onset complications of brain irradiation, characterized by reversible neurologic focal signs, seizures, and MRI alterations, have recently been reported and classified as stroke-like migraine attacks after radiation therapy (SMART)(1) and peri-ictal pseudoprogression (PIPG).(2.) ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a43b1f

    authors: Di Stefano AL,Berzero G,Vitali P,Galimberti CA,Ducray F,Ceroni M,Bastianello S,Colombo AA,Simoncelli A,Brunelli MC,Giometto B,Diamanti L,Gaviani P,Salmaggi A,Silvani A,Marchioni E

    更新日期:2013-09-10 00:00:00