1871年Traube首次描写了痉挛式的精神性嘶哑。1875年Schnitzler应用了痉挛性发声困难的病名。此后,在命名的问题上虽有过一些争议,但仍沿用上述病名至今。痉挛性发声困难多见于40岁后的中年人以及用嗓较多者。有谓女多于男。但在Brodnitz(1976)复习的2,640例功能性嗓音紊乱的病例中,有130例(4％)是痉挛性发声困难,其中男性61例,女性69例,相差无几。本病的临床特征是言语结巴、失却连贯性和正常的节奏,喉部因痉挛而梗塞,因此语声有“挤卡”感、发抖而时有中断。同时,颈和面肌不时的抽搐而呈种种怪相。但患者的自语、唱歌、咳嗽和笑声一般不受影响;酒醉后或麻醉初醒后,症状亦常有所减轻。 In 1871 Traube first described spasm of psychic hoarseness. In 1875 Schnitzler applied spastic vocal dysfunctions. Since then there has been some controversy over the naming issue, but the above name still applies. Spasmodic vocal dysfunction more common in middle-aged after 40 years of age and with more throat. There are more women than men. However, of the 2,640 cases of functional dysfunction reviewed by Brodnitz (1976), 130 (4%) were spasmodic dysphonia with 61 males and 69 females. The clinical features of this disease are stuttering, loss of coherence and normal rhythm, throat infarction due to spasms, so the voice has a “jammed” feeling, shaking and sometimes interrupted. At the same time, the neck and facial muscles from time to time convulsions were all kinds of strange phase. However, the patient’s self-esteem, singing, cough and laughter are generally not affected; drunken or early awakening, the symptoms are often eased.