Globe syndrome

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Classification according to ICD-10
R13 Dysphagia
F45.8 Other somatoform disorders
- dysphagia, including globus hystericus
ICD-10 online (WHO version 2019)

The globus syndrome or globus feeling ( lat. Globus hystericus or globus pharyngis ) is mainly characterized by the feeling of having a lump in the throat while swallowing is otherwise unhindered and possibly being able to breathe more poorly .

In the case of globus syndrome, swallowing saliva or empty swallowing is uncomfortable or painful, breathing can be difficult and strenuous. Compulsion to clear one's throat and minor voice disorders may also exist.

Diagnosis

For the clarification of physical (organic) causes, an examination of the internal and external neck organs is necessary:

Endoscopic examination of the throat ( pharynx ), the larynx ( larynx ) and the windpipe (trachea) for organic causes such as particularly inflammation, benign or malignant tumors or foreign bodies. A reflux of gastric acid ( reflux disease / gastric laryngitis ) can cause these symptoms.

An X-ray examination can exclude osteochondrosis of the cervical spine and an elongated stylus process (Latin styloid process ) of the temporal bone with the resulting styalgia . Other possible triggers are tension in the neck muscles, scars after neck operations and enlargements / knots of the thyroid gland (e.g. goiter ).

The globus feeling is a frequent companion of voice disorders ( dysphonia ).

If swallowing problems are unclear, X-ray cinematography (X-ray video) - an image of the esophagus - should be performed during the act of swallowing.

After excluding organic reasons for the globe feeling, psychosomatic causes such as As stress or a somatized depression to think.

See also

literature

  • K. Seifert: The so-called Globus Syndrome. In: Therapy Week. 39/1989, p. 3123.
  • R. Finkenbine, J. Miele: Globus hystericus: a brief review. In: General Hospital Psychiatry. 26/2004, pp. 78-82. PMID 14757307
  • J. Sun et. a .: Study on the function of pharynx upper esophageal sphincter in globus hystericus. In: World J Gastroenterol. 8/2002, pp. 952-955. PMID 12378649
  • EM Cybulska: Globus hystericus or depressivus? In: Hosp Med. 59/1998, pp. 640-641. PMID 9021868
  • A. Mazza et al. a .: Successful surgical treatment of "globus hystericus". In: Minerva Gastroenterol Dietol. 45/1999, pp. 51-54. PMID 16498315
  • V. Leelamanit et al. a .: Cisapride in the treatment of globus hystericus. In: Adv Otorhinolaryngol. 51/1997, pp. 112-124. PMID 9017080
  • LP Gray: The relationship of the 'inferior constrictor swallow' and 'globus hystericus' or the hypopharyngeal syndrome. In: J Laryngol Otol. 97/1983, pp. 607-618. PMID 6875362
  • SR Brown et al. a .: Globus hystericus syndrome responsive to antidepressants. In: Am J Psychiatry. 143/1986, pp. 917-918. PMID 3717436

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