A voice sign in chorea : preliminary report / Walter B. Swift.

  • Swift, Walter Babcock, 1868-
Date:
1914
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Licence: In copyright

Credit: A voice sign in chorea : preliminary report / Walter B. Swift. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Althaiis® in 1878 wrote: “The patient cannot sing because the res- piration is jerky and explosive. That the diaphragm and abdominal muscles suffer is shown by unequal and irregular respirations.” Bristowe^ in 1879: “The difficulty of speech depends not infre- quently on the spasmodic affection of the larynx and respiratory muscles, which compels him to draw his breath suddenly through the laryngeal orifice with a strained sound.” BosenthaP i)i 1879 said: “Speech is embarrassed, due to spasmodic action of muscles of respiration, of the larynx and pharynx.” Trousseau® in 1882: “Strange sounds are occasionally produced, the voice coming out in inspiration instead of expiration. Inspiratory mus- cles suddenly contract convulsively, cause the air to rush into the larynx so that from this kind of antagonism between the mind that wills the speech and the inspiratory muscles the voice undergoes a strange altera- tian.” Boberts,^® 1884: “Bespiratory movements are infrequent, jerky and irregular. Muscles of larynx are rarely implicated, those of the pharynx never.” James Boss” in 1885: “In laryngoscopic examination the vocal cords have been observed to act in an irregular and disorderly manner.” M. Allen Starr,1894: “Occasionally the laryngeal and respiratory muscles are affected and noises are made in the throat.” J. Lewis Smith,^® 1896: “In rare instances chorea affects the respira- tory muscles so as to produce a peculiar involuntary barking or squeak- ing voice by the forcible expulsion of air over the tense vocal cords.” Ch. Fere” in 1897: “The contortions of the featiires are associated with disturbance of speech.” C. E. Bewar,” 1898: “The respiratory muscles may act irregularly.” Wollenberg,”’ 1899 : “Speech is in some degree in all cases, dis- turbed. . . . The patient can enunciate a few syllables, or perhaps only one, and then a deep and hasty inspiration occurs.” C. Altliaus: ])iseases of the Nervous System, 1878. 7. Bristowe: Treatise on the Theory and Practice of Medicine, 1870. 8. Kosentlial: Clinical Treatise on Diseases of the Nervous System, 1870, ii. 0. Trousseau: Lectures, 1882, i. 10. Roberts: Theory and Practice of Medicine, 1884. 11. Ross, James: Handbook of Diseases of the Nervous System, 1885. 12. Starr, jM. Allen: Chorea, in the American Te.xt-Book of Diseases of Chil- dren, 1804. 13. Smith, .J. Lewis: Diseases of Children, 1800. 14. Fere, Ch.: Spasmodic Neuroses, Twentieth Century Practice, edited by Stedman, 1807, x. 15. Bewar, C. E.: Diseases of Nervous System, 1808. 16. Wollenberg: Chorea, Paralysis Agitans Paramyoclonus Multiplex, Vienna, 1809.