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Christy L. Ludlow, PhD

JAMA. 1990;264(20):2671-2675.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SELECTED CASE

A 37-YEAR-OLD woman presented to the Speech and Voice Unit of the National Institutes of Health, Bethesda, Md, with a 5-year history of a voice disorder of unknown etiology. The disorder began after an upper respiratory infection, when she developed hoarseness that persisted for several weeks. Indirect laryngoscopy 1 month after onset revealed no abnormalities: the vocal folds appeared normal and moved symmetrically. The symptoms progressed during the succeeding months; her voice became difficult to control, with frequent pitch and voice breaks. Speech therapy provided no lasting benefit. Because she had been undergoing a divorce and had a stressful job, her physician suggested psychological counseling. She discontinued counseling after a 3-month trial afforded no benefit. The symptoms progressed during the next 2 years and then stabilized, sometimes aggravated by stress and voice use. During the next few years she sought relief with hypnosis, acupuncture, and various medications, including . . . [Full Text PDF of this Article]

Author Affiliations
From the Speech and Voice Unit, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, Md.

Footnotes
Reprint requests to Bldg 10, Room 5D38, National Institutes of Health, Bethesda, MD 20892 (Dr Ludlow).

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