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From: Marie-Claude Monfrais-Pfauwadel
Date: 10/7/03
Time: 5:09:50 PM
Remote Name: 194.158.98.37
In my answer to Judith Kuster (self referral and neurological findings), I mentioned I have worked with PD patients for a long time- as well as mith stutterers. Beside what I just wrote about palilias (which cannot be mistaken for typical stuttering dysfluencies as they keep some rythm and they do not show any hypertonicity....just the contrary), one must keep in mind that PD patients suffer of dysautonomia and that their larynx lacks sensitivity. The swallowing reflex is impaired, and if you make a fiberoptic examination of the larynx, the epiglottis lacks of sensitivity. Inhalation and subsequant pulmonary infections are the first cause of death for those patients.
Marie-Claude Monfrais-Pfauwadel