[Dysphagia] RE: Dysphagia Digest, Vol 20, Issue 20

[susanslp at swfla.rr.com (Susan O'Neill)]

Laryngospasm is reflexive in some people with reflux (there IS a name
for this, but it eludes me at this moment).  At times, gastric ulcers
are also found.  May not have anything to do with penetration at all.  I
will try to look up my source.  I used to have articles on it, and have
seen several pts with this.  Once the reflux was treated, the
laryngospasm ceased.

Susan O'Neill, MS, CCC-SLP

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Subject: Dysphagia Digest, Vol 20, Issue 20

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Today's Topics:

   1. RE: Laryngospasm in Kennedy's disease (Liddle, Brenda)


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Message: 1
Date: Mon, 25 Jul 2005 13:11:42 -0400
From: "Liddle, Brenda" <brenda.liddle@algonquinhs.on.ca>
Subject: RE: [Dysphagia] Laryngospasm in Kennedy's disease
To: <dysphagia@b9.com>
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<1AD65A976B6E6C44A9AFEA4104193574BD5279@C3-SSHA-A1010.accounts.ccac-ont.
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Has anyone heard of laryngospasm occurring with client's with Kennedy's
Disease? 
I have a client who experiences occasional (1-2 times/week, to once/3
weeks) "neck cramping" when drinking Thin fluids, where his "throat
closes down" and he "can't regain his breath" for a few scary seconds.
The VF of course showed no penetration/aspiration due to the infrequency
of the events, but definite reduced laryngeal elevation (although good
forward hyoid movement), and subsequent mild residue in vallec and
pyriform. 
I'm thinking he probably at least penetrates occasionally due to the
reduced movement and wonder if his vocal folds "cramp" as he experiences
in his other muscles in his body.
Anyone had a similar client experience to share? Any tx suggestions
other than chin tuck? (Obviously effortful swallow won't help with
muscle fatigue).
Thanks
Brenda 



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End of Dysphagia Digest, Vol 20, Issue 20
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