.RobertKennedyJr's splash entry into the 2024 presidential field has drawn renewed attention to his rare voice disorder. Here's what to know about spasmodic dysphonia and its implications for Kennedy’s campaign.
The son of the late Attorney General Robert F. Kennedy and nephew of the late President John F. Kennedy has gained a marked following for a candidate challenging a sitting president within the same party. A May CNN poll, for example, found that 20% of Democrats support Kennedy over President Joe Biden.Here's what to know about spasmodic dysphonia and its implications for Kennedy’s campaign.
NIDCD identifies that the disorder is “thought to be caused by abnormal functioning in an area of the brain called the basal ganglia,” which coordinates muscle movement and language processing. Strokes and drug abuse can affect basal ganglia function. Botox treatments for spasmodic dysphonia weaken sections of the vocal cord muscle fiber, preventing the abnormal contractions that distort the patient’s voice. After 24 hours, the injections can improve voice functioning. As new nerve cells regenerate over a period of weeks, the vocal cords return to their normal strength, causing the dysphonia to resume.
Kennedy also said that he had been obtaining Botox treatments for the disorder, but his clinicians “still [hadn’t] gotten [his] dose right.” Treatment guidance from the Stanford University School of Medicine notes that"[a]ll patients are different, and therefore the amount of Botox that is needed from patient to patient is different."
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