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Letter
Psychogenic aphonia: spectacular recovery after motor cortex transcranial magnetic stimulation
  1. N Chastan1,
  2. D Parain1,
  3. E Vérin2,
  4. J Weber1,
  5. M A Faure3,
  6. J-P Marie4
  1. 1
    Department of Neurophysiology, Rouen University Hospital, University of Rouen, France
  2. 2
    Department of Physiology, Rouen University Hospital & UPRES-EA 3830-GRHV, University of Rouen, France
  3. 3
    Phonatrician, Paris, France
  4. 4
    Department of Otolaryngology, Rouen University Hospital, & UPRES-EA 3830-GRHV, University of Rouen, France
  1. Professor J-P Marie, CHU de Rouen, Service d’ORL, Dévé 1er étage, 1 rue de Germont, 76031 Rouen cedex, France; jean-paul.marie{at}chu-rouen.fr

http://dx.doi.org/10.1136/jnnp.2008.154302

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    Psychogenic aphonia is a disabling conversion disorder with no standard psychotherapeutic1 or speech-therapeutic treatment.2 We present here a case report describing a promising new treatment for this disorder based on repetitive transcranial magnetic stimulation (rTMS).

    A left-handed 18-year-old woman developed a sudden total loss of normal speech production which was preceded by hoarseness. Coughing and syllabic “trillo” phonation were normal, indicating normal articulatory ability. An otolaryngological examination noted a normal larynx with no sign of lesion or vocal cord palsy, and videostroboscopic examination showed no vocal-cord adduction except during coughing. Neurological examination and …

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    Footnotes

    • See Editorial Commentary, p 4

    • Competing interests: None.

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