A RARE CASE OF A PSYCHOGENIC DYSARTHROPHO NIA OR A COMPLEX ARTICULATION-RELATED DYSKINESIA

We present the symptomatology of a complex articulation-related dyskin esia of the pharynx with intermittent functional velopharyngeal insuff iciency. It became permanent gradually after a writer's cramp had remi tted without therapy. No final nosologic assignment can be made on the basis of the described observations in the individual case. The devel opment of the disease in the 56-year old male patient ended in occupat ional disability. It suggests manifestation of psychopathological even ts in the patient's life history of threshold situations by premorbid psychic vulnerability. The possibility of the etiopathologic interacti on of emotional and neurological factors cannot be excluded. However, therapy with local botulinum toxin injections proved to be just as uns uccessful as logopedic treatment.