Abstract
Patients with cerebellar disease may exhibit tremulous phonation as part of their dysarthria. The results of an acoustic analysis of cerebellar voice tremor in a patient with hereditary ataxia and presenting with a purely cerebellar syndrome are reported. Analysis included computation of speech intensity contours, fundamental frequency contours, and spectral parameters from sustained productions of vowels and voiceless fricatives. Fundamental frequency contours during sustained phonation of vowels showed rhythmic oscillations at a rate of about 3 Hz. No concomitant periodicity could be detected for the parameters characterising voiceless fricative production. The results indicate an impairment of phonatory control in relation to the maintenance of a constant isometric activity of the internal laryngeal muscles. Cerebellar voice tremor may therefore be classified as a form of postural tremor.
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- BROWN J. R., SIMONSON J. Organic voice tremor. A tremor of phonation. Neurology. 1963 Jun;13:520–525. doi: 10.1212/wnl.13.6.520. [DOI] [PubMed] [Google Scholar]
- Dichgans J., Mauritz K. H., Allum J. H., Brandt T. Postural sway in normals and atactic patients: analysis of the stabilising and destabilizing effects of vision. Agressologie. 1976;17(100 Spec No):15–24. [PubMed] [Google Scholar]
- Flament D., Vilis T., Hore J. Dependence of cerebellar tremor on proprioceptive but not visual feedback. Exp Neurol. 1984 May;84(2):314–325. doi: 10.1016/0014-4886(84)90228-0. [DOI] [PubMed] [Google Scholar]
- Hagbarth K. E., Young R. R. Participation of the stretch reflex in human physiological tremor. Brain. 1979 Sep;102(3):509–526. doi: 10.1093/brain/102.3.509. [DOI] [PubMed] [Google Scholar]
- Mai N., Bolsinger P., Avarello M., Diener H. C., Dichgans J. Control of isometric finger force in patients with cerebellar disease. Brain. 1988 Oct;111(Pt 5):973–998. doi: 10.1093/brain/111.5.973. [DOI] [PubMed] [Google Scholar]
- Silfverskiöld B. P. A 3 C/sec leg tremor in a "cerebellar" syndrome. Acta Neurol Scand. 1977 May;55(5):385–393. doi: 10.1111/j.1600-0404.1977.tb05657.x. [DOI] [PubMed] [Google Scholar]
- Tomoda H., Shibasaki H., Kuroda Y., Shin T. Voice tremor: dysregulation of voluntary expiratory muscles. Neurology. 1987 Jan;37(1):117–122. doi: 10.1212/wnl.37.1.117. [DOI] [PubMed] [Google Scholar]
- Vilis T., Hore J. Central neural mechanisms contributing to cerebellar tremor produced by limb perturbations. J Neurophysiol. 1980 Feb;43(2):279–291. doi: 10.1152/jn.1980.43.2.279. [DOI] [PubMed] [Google Scholar]
- Ziegler W., von Cramon D. Spastic dysarthria after acquired brain injury: an acoustic study. Br J Disord Commun. 1986 Aug;21(2):173–187. doi: 10.3109/13682828609012275. [DOI] [PubMed] [Google Scholar]