痉挛性发音障碍时声带异常紧张,发音呈断续状,但咳嗽和笑声一般正常。好发年龄为成年,女性稍多,以讲话为职业的教师、话务员、僧侣等多发此病。本病的病因尚未清楚,有报道,经神经学检查发现,系锥体路和右侧顶叶异常。亦有报道使用核磁共振检查,可发现有基底节梗塞和脑室附近的脱髓鞘改变。本病可分为内收和外展两型,作者的印象似乎还有混合型。内收型是常见的,由于声带内收肌的强烈收缩,声音象挤牙膏一样很难发出。此时通过喉镜能看到声带伴随强烈的内收痉挛和不规则收缩。外展型占10～20%,声带在发音时一般能看到内收,而外展时则出现有声突然变为无声这种不可思议的声音。治疗历来就是最困难的,可进行心理疗法、发音训练及使用喉头探针防止声门的闭锁等。也可通过手 Spasmodic dyskinesia when abnormal vocal cord, the voice was intermittent, but the normal cough and laughter. Good hair age for adulthood, women a little more, to talk as a professional teacher, attendants, monks and other multiple diseases. The etiology of the disease is not yet clear, it has been reported by neurological examination found that Department of cones and right parietal lobe anomalies. There are also reports of the use of magnetic resonance imaging, can be found in basal ganglia infarction and demyelination near the ventricle change. The disease can be divided into adduction and outreach two types, the author’s impression seems to be mixed. Adduction type is common, due to the strong contraction of the vocal cord adductor, the sound is very difficult to issue like squeezing toothpaste. At this point the vocal cord can be seen through the laryngoscope with strong adduction spasm and irregular contraction. Abduction accounted for 10 to 20% of the vocal cords in the pronunciation can generally see adduction, while the outreach when the sudden emergence of voices such an incredible voice. Treatment has always been the most difficult, for psychological therapy, pronunciation training and the use of laryngeal probe to prevent the glottis of the lock and so on. Also by hand