Hysterical aphasia
Introduction
Introduction to hysteria Hysteric dysfunction often complains of sudden speech loss, or can only whisper, but coughing can still sound. Psychosocial factors are the main factors, and organic diseases should be excluded before diagnosis. There is usually a history of emotional excitement or mental stimulation, such as life events, inner conflicts, excessive sorrow, fear, depression, nervousness, anger and so on. Often manifested as a sudden onset of the occurrence of obstacles. After being stimulated by mental stimulation, the patient can immediately lose normal pronunciation function. The lighter can still speak in a low voice, and the severe one can only make a weak whisper, but rarely loses completely. The loss of voice is mainly reflected in the speech, but the sound is still normal when coughing, crying, and breathing is completely normal. The ability to develop can suddenly return to normal, but in some cases it can suddenly relapse, indicating that this is a functional disease. Related to psychological factors, there is generally a history of emotional excitement or mental stimulation, such as heart rushing in life events, excessive sorrow, fear and depression, nervous anger, etc., more common in young women. basic knowledge The proportion of illness: 0.0007% Susceptible people: no special people Mode of infection: non-infectious Complications: abnormal muscle tone
Cause
Hysteric aphasia
Cause:
Psychosocial factors are the main factors, and organic diseases should be excluded before diagnosis. There is usually a history of emotional excitement or mental stimulation, such as life events, inner conflicts, excessive sorrow, fear, depression, nervousness, anger and so on.
Prevention
Hysteric voice loss prevention
Pay attention to relieve tension and create a comfortable and relaxing environment for patients, because tension is a hotbed of sputum.
When a patient with snoring is ill, first control the words and deeds, and let the patient calm down to avoid accidents. If it is serious, he should be sent to the hospital immediately.
Complication
Hysteric dysfunction Complications, abnormal muscle tone
Sometimes physical complications can occur.
Symptom
Hysteric voice loss symptoms common symptoms
When the laryngoscopy is performed, the vocal cords may be incompletely adducted, the muscle tension is also weak, and there is a paralysis phenomenon. The vocal cords are in a normal state when breathing quietly, or there is a slight abduction. The throat drops force the patient to cough, and the vocal cords can be closed or enlarged. Mostly bilateral vocal cord functional disorders rather than unilateral.
Examine
Hysteric voice loss check
1 There is often no special findings in systemic examinations.
2 Laryngoscopy examination of the pronunciation of the vocal cords can be incomplete adduction, muscle tension is also weak, there is a paralysis phenomenon. The vocal cords are in a normal state when breathing quietly, or there is a slight abduction.
3 throat drops to force the patient to cough, you can see the vocal cords closed or open.
More than 4 bilateral vocal cord functional disorders rather than unilateral, must be distinguished from muscular lesions and laryngeal arthritis.
Diagnosis
Hysteric voice loss diagnosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Mostly bilateral vocal cord functional disorders rather than unilateral, must be distinguished from muscular lesions and laryngeal arthritis.
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