Neuroleptic Induced Laryngo-Pharyngeal Dystonia

Alappan, Narendrakumar; Sundar, A. Shyam; Varghese, Sunny T.

doi:10.1176/jnp.2008.20.2.241

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…For example, some patients progress to a more generalized facial dystonia: Meige syndrome. Other muscle groups that may also be affected by dystonic movements include muscles of the larynx and pharynx ("laryngealpharyngeal dystonia") (Alappan Spring 2008 ;Kahn 2001 ) . The voice may become harsh, hoarse, and strained, a condition termed "spasmodic dysphonia."…”

Section: Blepharospasmmentioning

confidence: 99%

Spastic Facial Muscle Disorders

Park

Harrison

Lee

2012

Craniofacial Muscles

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Section: Blepharospasmmentioning

confidence: 99%

Spastic Facial Muscle Disorders

Park

Harrison

Lee

2012

Craniofacial Muscles

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“…In patients with psychiatric disorders, dysphagia can be caused by a combination of factors such as antipsychotic drug use, a problem with eating, a reduced degree of independence in performing activities of daily living (ADL), and reduced physical function 31) . Antipsychotic medications, which are used as therapeutic agents for psychiatric disorders, are known to block dopaminergic transmission in the basal ganglia and striatum, resulting in various extrapyramidal symptoms 1,7) . In such cases, it is critical to detect dysphagia at an early stage and prevent aspiration due to fast eating or swallowing of whole food items 14) .…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Mann Assessment of Swallowing Ability for Predicting Dysphagia in Patients with Psychiatric Disorders

Ohira,

Ohkubo,

Miura

et al. 2023

Bull. Tokyo Dent. Coll.

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Dysphagia occurs in various diseases and constitutes a major concern in patients with psychiatric disorders. The Mann Assessment of Swallowing Ability (MASA) comprises 24 clinical parameters designed to identify swallowing disorders. One item in MASA, the "gag reflex", involves an unpleasant stimulus, which means that it is often omitted when the test is administered. The aims of this study were to determine the presence/absence of dysphagia in patients with psychiatric disorders using the MASA and determine its diagnostic accuracy when the gag reflex item was excluded in patients with psychiatric disorders. The study participants comprised patients admitted to a hospital psychiatric ward in whom dysphagia had been suspected based on oral intake status. The following items were determined: age, total MASA score (23 out of 24 items, giving a score out of 195 points), body mass index score, milligram equivalents of chlorpromazine, and the Food Intake Level Scale score. The patients were divided into two groups according to the presence or absence of swallowing problems as assessed by videoendoscopic or videofluoroscopic examination. The scores for each item investigated in the MASA, including the total score, were compared between the two groups. Receiver operating characteristic curve analysis was carried out to determine the optimum cut-off value. The total MASA score, which excluded the "gag reflex" item, was lower in the problematic swallowing group than in the non-problematic swallowing group. The MASA scores for cooperation, respiratory, dysphasia, tongue coordination, oral preparation, pharyngeal phase, and pharyngeal response tended to be lower in the problematic swallowing group. Furthermore, an optimum cut-off value of 169 points (sensitivity, 0.92; specificity, 0.68; likelihood ratio, 2.84) was identified. These results indicate that the cut-off MASA score is effective in screening for dysphagia, even when the "gag reflex" item is excluded.

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Distonía laríngea y faríngea

Ruiz-Espiga¹

2010

Toxina Botulínica

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Neuroleptic Induced Laryngo-Pharyngeal Dystonia

Cited by 5 publications

References 7 publications

Spastic Facial Muscle Disorders

Spastic Facial Muscle Disorders

Diagnostic Accuracy of Mann Assessment of Swallowing Ability for Predicting Dysphagia in Patients with Psychiatric Disorders

Distonía laríngea y faríngea

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