Hysterical Aphonia Research Articles

Case of large papilloma, with obstinate hysterical aphonia

Case of large papilloma, with obstinate hysterical aphonia

PSEUDO-HYSTERICAL APHONIA.Read in the Section on Laryngology and Otology, at the Forty-fifth Annual Meeting of the American Medical Association, held in San Francisco, June 5-8, 1894.

Typical hysterical aphonia is described in our treatises as a form of bilateral adductor paralysis of the larynx, usually of neurotic origin; sometimes more exactly, as paralysis of the lateral crico arytenoid muscles. As such, its etiology, symptomatology and treatment, as generally accepted, are familiar to all laryngologiste. Some writers describe associated laryngeal conditions, such as hoarseness from acute cold; others loss of power of artic ulation. The inference is that the neurotic feature is not the only etiologic one. Indeed, many cases of this affection appear to be the result of a number of abnormal factors, though the prominent indication to be met and the one most influencing the physician in his attitude toward the complaint is the functional, hysterical, nervous one; it overshadows all the others, and treatment is directed toward its removal too often without due consideration of other important constitutional and local conditions. I am satisfied

The Treatment of Hysterical Aphonia

The Treatment of Hysterical Aphonia

HYSTERICAL APHONIA, OR PARALYSIS OF THE LATERAL CRICOARYTENOID MUSCLES.Read in the Section of Laryngology and Otology at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May, 1890.

One of the most interesting manifestations of the group of symptoms which make up what is termed hysteria, is paralysis of the adductor muscles of the vocal cords. It is a singular fact in accordance with what might be termed a conservative law of pathological selection, that in nerve trunks not larger than a small knitting needle, in this disease only those fibres are involved which supply the adductor muscles, while adjoining fibres supplying the abductor muscles are not implicated. This is peculiarly fortunate, for otherwise this merely annoying affection would often become a fatal malady. This affection usually occurs in young women, but is sometimes observed later in life and has been met with even in children. Although termed hysterical, cases are not very infrequent among men. As the name implies, the disease is usually associated with some form of hysteria, but it sometimes