Adult-Onset Stuttering Treated With Anticonvulsants

Baratz, Robin; Mesulam, Marek Marsel

doi:10.1001/archneur.1981.00510020090016

Cited by 25 publications

(5 citation statements)

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“…Onset of stuttering in adulthood is rare, though there are some reports of fluent people who developed this disturbance after a brain injury, whether cortical or subcortical, 2–5 or after drug administration. 6 Stuttering is occasionally observed in adults as a result of left hemisphere injury in Broca's area 7 and can be an integral part of the aphasic syndrome, 8 though the two disorders seem to be independent.…”

Section: Commentsmentioning

confidence: 99%

“…1 This results in "central" aphasic syndromes, which arise from damage to either Broca's or Wernicke's areas, and "disconnection" syndromes, which arise from lesions interrupting the connections of these centers with each other and with the other components of the language network. 1 Onset of stuttering in adulthood is rare, though there are some reports of fluent people who developed this disturbance after a brain injury, whether cortical or subcortical, [2][3][4][5] or after drug administration. 6 Stuttering is occasionally observed in adults as a result of left hemisphere injury in Broca's area 7 and can be an integral part of the aphasic syndrome, 8 though the two disorders seem to be independent.…”

Section: Commentsmentioning

confidence: 99%

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Acquired Transient Stuttering During a Migraine Attack

2000

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Stuttering is an abnormality in the fluency of speech, which is characterized by interruption of the normal rhythm due to involuntary repetition and prolongation, or arrest, of uttered letters or syllables.The aphasic syndrome and dysarthria can be associated with classic migraine, but, to our knowledge, no study has so far described stuttering as the only neurological symptom accompanying an attack.Key words: stuttering, migraine, aphasia ( Headache 2000;40:170-172) CASE HISTORYA 26-year-old, right-handed woman presented to the emergency room because of frontal and temporal bilateral headache and stuttering.The patient had been well until three hours before when she developed a severe headache and right arm and perioral paresthesia with a progressive disturbance in the fluency of her speech with stuttering.She had never stuttered previously, and there was no family history of developmental stuttering. The patient reported having had insulin-dependent diabetes mellitus since the age of six years and only had one or two episodes of headache per year in the past; these headaches had the same features as the current episode except for the stuttering. There was no history of hypertension; use of tobacco, alcohol, or illicit drugs; auditory symptoms, vertigo, or dysarthria; neck pain; night sweats; or weight loss.Her temperature was 36.5 Њ C. Her pulse was 88 beats per minute, and the respirations were 16 breaths were minute . Her blood pressure was 115/80 mm Hg.The results of the general physical examination were normal. On neurological examination, her muscle strength, sensation of pinprick, vibration, temperature, and joint position were normal; cranial nerve functions were preserved; and the visual fields were intact. Coordination and gait were normal, and Romberg's test was negative. The deep or tendon reflexes were ϩϩ and equal in both arms and legs. Babinski's sign was not present.The fluency evaluation revealed severe stuttering characterized by multiple repetitions or blocks, or both, with 20 or more repetitions per word during both conversational speech and oral reading. No starters or secondary stuttering characteristics, and no specific word fears or avoidance, were exhibited. No deficit in naming, spontaneous speech, comprehension, repetition, reading, and writing was observed.Blood glucose levels and other hematological and chemical values, including the level of angiotensin-converting enzyme, were normal.The results of a CT examination of the brain, performed during the attack, were normal, and EEG findings did not show abnormalities or focal or generalized paroxysmal activity.Ketoprofen was administered with only a slight improvement in the patient's symptoms, but stuttering, headache, and right arm and perioral paresthesia promptly and completely disappeared after subcutaneous administration of sumatriptan, 6 mg.One week later, a repeated CT and MRI of the brain performed after the intravenous injection of contrast material did not show any abnormality. A serological test for syphilis and a test ...

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Acquired Transient Stuttering During a Migraine Attack

2000

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“…With respect to the speech tasks (e.g., spontaneous speech, reading, & singing), they garnered evidence that refutes the assumption that only people with DS show dysfluencies in tasks that require more spontaneity (e.g., spontaneous speech as opposed to choral speech or oral reading). To support their argument Lebrun et al cited the case of a person with ANS (Baratz & Mesulam, 1981) who exhibited stuttering only during spontaneous speech, with apparently fluent oral reading. Similarly, evidence for task-based variations in dysfluencies was secured from the investigations of Mazzuchi and colleagues (Mazzuchi, Moretti, Carpeggiani, Parma, and Paini, 1981), Lebrun and Leleux (1985), and Lebrun, Devreux, and Rousseau (1986) by these authors.…”

Section: Lebrun and Colleagues' Critical Reviewmentioning

confidence: 99%

Differential diagnosis in developmental and acquired neurogenic stuttering: Do fluency-enhancing conditions dissociate the two?

Krishnan¹,

Tiwari²

2013

Journal of Neurolinguistics

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“…Since 1978 alone, over 50 cases of neurogenic stuttering have been described in the literature. Stuttering has been reported in association with strokes and head injury (Helm, Butler, & Benson, 1978), penetrating head wounds (Ludlow, Rosenberg, Salazar, et al 1987), brain tu-25 mors (Helm, Butler & Canter, 1980), seizures (Baratz & Mesulam, 1981) and progressive disorders such as Parkinson's disease (Downie, Low, & Linsay, 1981).…”

Section: Q U E S T I O N Two: Was the Stuttering Neurogmic Or Pyschogmentioning

confidence: 99%

Sudden Onset of “Stuttering” in an Adult: Neurogenic or Psychogenic?

Helm-Estabrooks¹,

Hotz²

1998

Semin Speech Lang

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A 30-year-old woman hit her head during an automobile accident and was admitted to the hospital. One week later magnetic resonance imaging (MRI) showed a right frontal/parietal lesion. Among the behavioral sequelae were mild ataxia with trunkal instability and dysfluent speech accompanied by prominent shaking of the right leg, face and neck tension, and facial twitching. The speech-language pathologist thought the patient was not aphasic but rather was stuttering and treated her for about a month with pacing and "easy onset" techniques to which she showed fair response. The diagnostic question in this case is whether the stuttering was the result of the brain damage (neurogenic) or of the stressful events she had experienced (psychogenic). In this article we review her case and the process we used in arriving at an "expert" opinion.

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Adult-Onset Stuttering Treated With Anticonvulsants

Cited by 25 publications

References 5 publications

Acquired Transient Stuttering During a Migraine Attack

Acquired Transient Stuttering During a Migraine Attack

Differential diagnosis in developmental and acquired neurogenic stuttering: Do fluency-enhancing conditions dissociate the two?

Sudden Onset of “Stuttering” in an Adult: Neurogenic or Psychogenic?

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