Understanding Laryngeal Dystonia and Voice Tremor

This study aims to understand the brain differences between laryngeal dystonia (a voice disorder where muscles spasm) and voice tremor (a shaky voice). Researchers will use brain imaging techniques like functional MRI, MEG (magnetoencephalography), and EEG (electroencephalography) to look for specific patterns in the brain. They will also use a laryngeal sensory block with topical bupivacaine (a numbing medicine) to see how blocking sensation in the voice box affects brain activity and voice function. The study is looking for 165 participants, including those with laryngeal dystonia or voice tremor, and healthy volunteers, aged 18 to 80. The main goal is to see how brain signals change in these conditions and how the bupivacaine treatment impacts voice function over five years.

Study design
This is an interventional study planning to enroll 165 participants. It will compare brain activity in individuals with laryngeal dystonia, voice tremor, and healthy controls.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will measure changes in brain signals and voice function over a period of five years.

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NCT05216770

Understanding Disorder-specific Neural Pathophysiology in Laryngeal Dystonia and Voice Tremor

Recruiting
EARLY_PHASE1Ages 18–80InterventionalBasic science
Massachusetts Eye and Ear Infirmary
~165 participants
Updated 2025-12-02 on ClinicalTrials.gov
What's tested:Brain imagingLaryngeal sensory block with topical bupivacaine

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Functional MRI, MEG and EEG signal changes in laryngeal dystonia compared to voice tremor
Measured over 5 years
+2 more outcomes measured
Laryngeal Dystonia
Spasmodic Dysphonia
Tremor
1 sites across 1 states
Massachusetts1
  • Kristina Simonyan, MD, PhD · STUDY_DIRECTOR · Professor of Otolaryngology - Head and Neck Surgery

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  • Functional MRI, MEG and EEG signal changes in laryngeal dystonia compared to voice tremor5 years

    Qualitative analysis of brain regions with disorder-specific increases and decreases of spatial (functional MRI) and temporal (MEG and EEG) signals will be determined in patients with laryngeal dystonia compared to patients with voice tremor

  • Effects of sensorimotor brain modulation on voice function in laryngeal dystonia5 years

    Quantitative measures of symptoms will be determined using Burk-Fahn-Marsden Dystonia Rating Scale where higher score means a worse outcome, following sensorimotor feedback modulation in patients with laryngeal dystonia

  • Effects of sensorimotor brain modulation on voice function in voice tremor5 years

    Quantitative measures of symptoms will be determined using Fahn-Tolosa-Marin Rating Scale where higher score means a worse outcome, following sensorimotor feedback modulation in patients with voice tremor