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Spasmodic occlusion of the larynx in the adult is usually of the nature of a reflex and is but a symptom of a nerve lesion more remote The remote causes are usually those that produce paralysis of the abductor muscles, notably, the lateral crico-arytenoids and those that produce spasm of the adductor muscles, notably the inter-arytenoids. A differentiation of these causes will be essential to the proper treatment of the cases when presenting.
In the remote causes proper has been enumerated spasm of the adductor muscles. This spasm is usually found in such nervous diseases as chorea and hysteria. The spasm may always be relieved by temporary anesthesia. It is usually not severe nor of long duration. As a rule it is relieved before loss of consciousness supervenes, the exhaustion caused by the spasm relaxing the spasm. It is of the nature of a nervous cough and is to be
STILLSON H. SPASMODIC CLOSURE OF THE GLOTTIS IN THE ADULT. JAMA. 1898;XXX(9):467–469. doi:10.1001/jama.1898.72440610015001d
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