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La voz normalmente es ronca o áspera. Puede titubear y hacer una pausa. La voz puede sonar forzada o ahogada y puede parecer como si el hablante tuviera que hacer un esfuerzo extra (conocido como disfonía del músculo aductor).
Algunas veces, la voz es susurrante o velada (disfonía del músculo abductor).
Algunas personas descubrirán que el problema desaparece cuando se ríen, susurran, hablan con voz chillona, cantan o gritan.
Algunos pacientes tendrán problemas de tono muscular en otras partes del cuerpo (como el calambre de los escribientes).
Goetz CG, ed. Textbook of Clinical Neurology. 3rd ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 13.
Blitzer A, Alexander RE, Grant NN. Neurologic disorders of the larynx. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 60.
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