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Dysarthria

About: Dysarthria is a research topic. Over the lifetime, 2402 publications have been published within this topic receiving 56554 citations.


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Journal ArticleDOI
TL;DR: In this article, the recent literature related to differential diagnosis of listed fluency disorders is reviewed and their general and specific symptomatology is described and differential diagnostic criterias are highlighted.
Abstract: The differential diagnosis refers to identification of a disorder and differentiating it from other disorders with common symptoms (Sardelic i sur., 2001). In the field of fluency disorders, disfluencies are common symptom that can be part of different developmental and acquired disorders such as developmental stuttering, neurogenic stuttering, psychogenic stuttering, cluttering, aphasia, dysarthria, apraxia, palilalia, Parkinson disease and different genetic syndromes, specifically Down syndrom, Fragile X syndrome, Prader-Willi syndrome, Tourette syndrome, Neurofibromatosis type I and Turner syndrome. In this paper, the recent literature related to differential diagnosis of listed fluency disorders is reviewed. Their general and specific symptomatology is described and differential diagnostic criterias are highlighted. Because differential diagnosis of fluency disorders is still challenge for speech and language therapists, this paper can serve as guidelines in clinical decision making. Accurate diagnosis is necessary to ensure optimal therapy plan because different strategies are appropriate for different disorders. There are various limitations of research studies in this field and many of them consist of case studies. Further systematic studies on large groups, with detailed descriptions of speech and non-speech characteristics across various types of speech tasks are necessary in order to obtain better understanding of different fluency disorders.

3 citations

Journal ArticleDOI
Joseph R. Duffy1
TL;DR: The case of a man who initially presented to an emergency room with an isolated dysarthria is reviewed in order to demonstrate how the history, clinical context, and clinical observations can lead to accurate or inaccurate diagnosis.
Abstract: The case of a man who initially presented to an emergency room with an isolated dysarthria is reviewed in order to demonstrate how the history, clinical context, and clinical observations can lead to accurate or inaccurate diagnosis. The diagnostic process in this case illustrates (1) the value of experience in clinical practice; (2) the role of the history and clinical context in diagnosis, but their occasional capacity to mislead; (3) the importance of distinguishing evidence from inference; (4) the use of deductive strategies and pattern recognition in speech diagnosis; (5) the importance of diagnostic vigilance; (6) the value of distinguishing among dysarthria types; and (7) the contribution that the diagnosis of speech disorders can make to the localization and diagnosis of neurologic disease.

3 citations

Journal ArticleDOI
TL;DR: A description of disorders of speech caused by impairment of cerebral function in hygoglycaemia, where total loss of speech in deep coma, the following disturbances could be observed mainly during the stages of going into and waking from coma.
Abstract: 1. The paper gives a description of disorders of speech caused by impairment of cerebral function in hygoglycaemia. Besides total loss of speech in deep coma, the following disturbances could be observed mainly during the stages of going into and waking from coma: 1. Isolated dysphasias of the motor and probably of the auditory type. 2. Dysarthria and kindred symptoms closely related to clouding of consciousness. They are identical with those observed in clouded states of other aetiology. Echolalia, one of these symptoms, is frequent in hypoglycaemia. 3. Articulate rhythmic ejaculations occurring together with myoclonic twitchings of cortical origin. 4. Primitive utterances,similar to the lallations or cries of the human infant or to the sounds produced by animals, voiced in the stage of choreo-athetotic hyperkinesis. They are considered to be of subcortical origin released by the inhibition of the cortex. 2. The cerebral mechanism of these disorders is discussed with reference to— 1. Speech as the most highly differentiated function of the cortex. 2. Consciousness and its disturbance as a concept signifying deviation from the waking state. 3. Attempts at localization based on the underlying schizophrenic symptoms (Angyal) 4. The significance of subcortical sounds for the theory of speech development. 5. The origin of the epileptic cry.

3 citations

Journal ArticleDOI
21 Aug 2020-Cureus
TL;DR: It is highlighted that acute stroke could manifest as an isolated dysarthria, which is an indicator of increased severity and high mortality with COVID-19 infection, and public awareness about the stroke symptom awareness should be emphasized.
Abstract: Isolated dysarthria is a speech abnormality characterized by slurring without any language dysfunction, or other neurological deficits. In an acute setting, it is commonly associated with stroke. In the context of social distancing during the current corona virus disease 2019 (COVID-19) pandemic, nondisabling symptoms such as isolated dysarthria can delay a patient's perception to seek immediate medical care. We present a rare case of isolated dysarthria in a COVID-19 infected stroke patient with a grave prognosis. A 79-year-old African American male presented with isolated dysarthria that manifested two days prior to his hospital visit. The dysarthria assessment showed impaired articulation, phonation, and prosody. Other neurological examinations were normal. He tested positive for the COVID-19 infection. His pulmonary CT scan showed bilateral ground glass opacities. An electrocardiogram showed atrial fibrillation (AF). Brain MRI revealed a punctate acute infarction in the left frontal lobe. Initially, he was treated with IV anticoagulation, oral beta-blocker, azithromycin and hydroxychloroquine, but he dramatically deteriorated within a week exhibiting a highly elevated cytokine level eventually resulting in multi-system organ failure. Despite aggressive treatment with steroids, tocilizumab and other supportive measures, the patient died of cardiac arrest. Our case highlights that acute stroke could manifest as an isolated dysarthria, which is an indicator of increased severity and high mortality with COVID-19 infection. Public awareness about the stroke symptom awareness should be emphasized.

3 citations

Book ChapterDOI
01 Jan 2019
TL;DR: The speech-language pathologist (SLP) works collaboratively alongside the individual with an acquired brain injury (ABI), his/her family, and a multidisciplinary team to create a comprehensive rehabilitation plan of care aimed at improving functional gains, independence, and quality of life.
Abstract: Speech-language pathologists work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive communication, and swallowing disorders in children and adults (ASHA, 2018a). The speech-language pathology team is a dynamic component of the interdisciplinary neurorehabilitation team and is involved in many aspects of care. The ultimate goal of this discipline is restoration of communication, resolution of dysphagia, and improvement of cognitive linguistic skills. The speech-language pathologist (SLP) works collaboratively alongside the individual with an acquired brain injury (ABI), his/her family, and a multidisciplinary team to create a comprehensive rehabilitation plan of care aimed at improving functional gains, independence, and quality of life.

3 citations


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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
2023229
2022415
2021164
2020138
2019125
201888