The total indirect and direct cost of epilepsy in the United States is estimated to be $15.5 billion yearly. This estimate is based on a reported cost of $12.5 billion in 1995 converted to 2004 dollar value using Bureau of Labor Statistics data. 4.
Many patients with adductor type spasmodic dysphonia complain of physical fatigue, tightness of the neck, back, and shoulder muscles and shortness of breath due to their efforts to phonate through the closed glottis. The severity of the symptoms of adductor spasmodic dysphonia varies within and among individuals.
Spasmodic dysphonia is a chronic (long-term) voice disorder. With spasmodic dysphonia, movement of the vocal cords is forced and strained resulting in a jerky, quivery, hoarse, tight, or groaning voice. Vocal interruptions or spasms, periods of no sound (aphonia), and periods when there is near normal voice occur.hen not used for talking, the vocal cords of people with spasmodic dysphonia are normal in appearance and function. However, when the vocal cords are brought together for talking, their movement is uncontrolled.