Aspectos Fonoaudiológicos na Atrofia de Múltiplos Sistemas(AMS)
DOI:
https://doi.org/10.34024/rnc.2004.v12.8884Keywords:
Multisystem atrophy, Parkinsonian syndrome, Autonomic insufficiency, dysarthria, voice disorders, speech disordersAbstract
Recently, many studies point dysarthria as an important signal for the diagnosis of Multisystem Atrophy (MSA). Dysarthria and dysphagia during the first year of illness, in patient with degenerative parkinsonism, strongly suggests the diagnosis of MSA or other forms of atypical parkinsonism. In this article we present the definition of dysartrophonia, and we show the speech pathology role in the diagnosis of the MSA, and also the most recent researches on this subject.
Metrics
References
Déjérine, J. & Thomas, A.A – L’atrophie olivo-ponto-cérébelleuse. Nouv Iconog Salpêtrière 1900; 13: 330 - 370.
Shy G.M. & Drager, G.A. – A neurological syndrome associated with orthostatic hypotension. Arcg Neurol 1960; 2: 511 – 527.
Graham J.G. & Oppenheimer D.R. - Orthostatic hypotension and nicotine sensitivity in a case of multiple system atrophy. J Neurol Neurosurg Psychiatry 1969;32(1):28-34.
Siemers E. Multiple System Atrophy. Med Clin N Am 1999; 83: 381-392.
Hanna P A, Jankovic J, Kirkpatrick J B. Multiple System Atrophy: The putative causative role of environmental toxins. Arch Neurol 1999; 56: 90-94.
Litvan I, Goetz C G, Jankovic J, Wenning GK, Booth V et al. What is the accuracy of the clinical diagnosis of Multiple System Atrophy: A clinicopathologic study. Arch Neurol 1997; 54: 937-944.
Wenning, G.K.; Ben-Shlomo, Y.; Hughes, A.; Daniel,S.E.; Less, A.; Quinn,N.P. – What clinical features are most useful to distinguish definite multiple system atrophy from Parkinson’s disease?. J Neurol Neuros Psych 2000; 68 (4): 434-440.
Quinn N – Multiple system atrophy – the nature of the beast. J Neurol Neurosurg Psychiatry 1989; 52 : 78-89.
Bassich CJ, Ludlow CL , Polinsky RJ – Speech symptoms associated with early sings of Shy-Drager syndrome. J Neurol Neurosurg Psychiatry 1984; 47: 995-100.
Swan, L. & Dupont, J. – Multiple system atrophy. Phys Ther 1999; 79: 488-494.
International Medical Workshop Covering Progressive Supranuclear Palsy, Multiple System Atrophy, and Cortico Basal Degeneration. Mov Disord 2001; 16: 382-395.
Knopp, D.B.; Ferraz, H.B.; Barsottini, O.G.P. - Avaliação Fonoaudiológica na Atrofia de Múltiplos Sistemas (AMS): Estudo com 5 pacientes. Arch NeuroPsiQuiatr 2002b; 60(3-A): 19-23.
Ramig, L.O. & Sherer, R. - Speech therapy for neurological disorders of the larynx. IN: Blitzer, A.; Sazaki, C.; Fahn, S.; Brin, M. & Harris, K. (eds.) - Neurological disorders of the larynx. New York, Thieme, 1992. p.248-78.
Carrara-De Angelis, EC – Deglutição, configuração laríngea, análise clínica e acústica computadorizada da voz de pacientes com Doença de Parkinson [tese]. São Paulo: Universidade Federal de São Paulo; 2000.
Darley FL, Aronson A, Brown JR- Differential diagnostic patterns of dysarthria. J Speech Hear Res 1969a; 12: 246- 252.
Darley FL, Aronson A, Brown JR – Clusters of deviant speech dimensions in disarthrias. J Speech Hear Res 1969b; 12: 462-468.
Otoxby M – Parkinson’s disease patients and their social needs. London: Parkinson’s disease Society, 1982.
Streifer M, Hofman S – Disorders of verbal expression in Parkinsonism, In Hassler RG & Christ JF (Eds) – Adv Neurol 1984; 40: 385-393.
Wenning, G.K.; Ben-Shlomo, Y.; Magalhães, M.; Daniel, S.E.; Quinn, N.P. – Clinical features and natural history of multiple system atrophy – An analysis of 100 cases. Brain 1994; 117: 835-845.
Kluin KJ, Gilman S, Lohman M, Junck L – Characteristics of the dysarthria of multiple system atrophy. Arch Neurol 1996; 53: 545-8.
Rehman HU – Multiple system atrophy. Postgrad Med J 2001; 77: 379-382.
Duffy JR – Motor speech disorders: substrates, differential diagnosis and management. St. Louis, Mosby, 1995.
Countryman S, Ramig LO, Pawlas, AA – Speech and voice deficits in parkinsonian plus syndromes: Can they be treated? J Med Speech Lang Pathol 1994; 2: 211-25.
Gilman, S. & Kluin, D. – Perceptual analysis of speech disorders in Friedreich disease and olivopontocerebellar atrophy. IN: Bloedel J.R. (ed.) – Cerebellar functions, New York, Springer – Verlag, 1984.
Hartman D.E. & O´neil B.P. – Progressive disfluency, dysphagia, dysarthria: a case of olivopontocerebellar atrophy. IN: Yorkston, K.M. & Beukelman, D.R. (eds.) – Recent advances in dysarthria, Boston, College-Hill, 1989.
Perez, K.S.; Ramig, L.O.; Smith, M.E., Dromey, C. – The Parkinson larynx: tremor and videostrobocopic findings. J Voice 1996; 10 (4): 354-61.
