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.
Neurological conditions that affect areas of the brain that control muscles in the throat or larynx can also cause hoarseness. Hoarseness is sometimes a symptom of Parkinson's disease or a stroke. Spasmodic dysphonia is a rare neurological disease that causes hoarseness and can also affect breathing. Treatment in these cases will depend upon the type of disease or disorder. For more information, read the NIDCD fact sheet, Spasmodic Dysphonia.