DAVID E. HARTMAN, PH.D.; BALAJI VISHWANAT, M.D.
To the editor: In the April issue, Feldman and coworkers (1) have identified some new and important characteristics of one form of spasmodic dysphonia. A number of their findings warrant further discussion.
Voice arrest and strained vocal quality due to vocal fold hyperadduction are frequently the primary features of psychogenic dysphonia. The fact that a specific underlying abnormality cannot be identified in spasmodic dysphonia does not mean that certain forms of the disorder do not have an underlying psychogenic cause. It is conceivable, and indeed an accepted tenet by some (2), that the dysphonia may be based on long-standing rather
HARTMAN DE, VISHWANAT B. Spasmodic Dysphonia. Ann Intern Med. ;101:403. doi: 10.7326/0003-4819-101-3-403_2
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Published: Ann Intern Med. 1984;101(3):403.
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