Swallowing,speech, and brainstem auditory-evoked potentials in spasmodic torticollis |
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Authors: | Jennifer Horner PhD John E Riski PhD Bruce A Weber PhD Blaine S Nashold Jr MD |
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Institution: | (1) Department of Surgery, Duke University Medical Center, Box 3887, 27710 Durham, NC, USA |
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Abstract: | To explore the controversial brainstem theory of spasmodic torticollis, eight consecutively referred patients were examined. Three independent examinations were conducted on the same day: a videofluoroscopic barium swallowing examination, an instrumental speech examination, and a brainstem auditory-evoked potential (BAEP) analysis. Swallowing was normal in two patients; speech physiology, in five; and BAEPs, in all. Normal BAEPs refute the brainstem theory, while abnormalities of speech and swallowing temper this conclusion. Several alternative explanations are proposed.The authors have no commercial or proprietary interest in any product mentioned in this article. |
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Keywords: | Barium swallow Instrumental speech analysis Brainstem auditory-evoked potentials Spasmodic torticollis Deglutition Deglutition disorders |
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