Chapter 15 Flashcards
What is the most common cause of dysarthria’s with vascular etiology?
Hemmorhagic Stroke
What type of etiologies can vascular dysarthria cause?
- any type of dysarthria
- mostly causes spastic , UUMN, and Ataxic
Degenerative Dz causes what type of dysarthria?
any type: mostly spastic, ataxic, hypokinetic, and flaccid
ALS is a frequent cause of which 2 dysarthrias?
flaccid and spastic
What is the most common dysarthria seen in TBI closed-head injury?
Spastic
What type of dysarthria’s are associated with open-head injuries?
- spastic,
- ataxic
- UUMN
What type of dysarthrias are caused by skull fractures and neck traumas?
Flaccid Dysarthria
What type of dysarthria is associated with surgeries involving the ear, nose, throat, chest, cardiac, areas?
Flaccid Dysarthria
What type of dysarthrias do toxic and metabolic conditions cause?
What types of dysarthrias do toxic conditions cause?
cause hyperkinetic and ataxic dysarthrias
what types of dysarthrias do infectious and inflammatory conditions cause?
- rarely cause dysarthria-sometimes occur
- type depends on condition
Demyelination dz can cause any type of dysarthria but which one is rare?
hypokinetic
Guillain Barre is usually associated with which dysarthria?
Flaccid
MS is usually associated with which dysarthria?
ataxic
anatomic malformations (Arnold Chiari- malformations of the brain) are usually associated with which Dysarthria?
Flaccid Dysarthria
Neuromotor Junction Disorders, muscle disease, and neuropathies only cause which type of dysarthria?
Flaccid-Because they are PNS diseases
What are some oral mech findings for flaccid dysarthria?
- Atrophy and Fasciculations
- hypotonia and hypoactive gag reflex (more often found)
- MG-rapid loss of intelligibility-
- nasal regurgitation may be seen-
What are some oral mech findings for Spastic Dysarthria?
- pathological oral reflexes,
- hyperactive gag reflexes,
- pseudobulbar effect
- more probs with dysphagia and drooling
What are some oral mech findings for ataxic dysarthria?
-dysmetria in non speech: jaw, face, and tongue movements
(not typically seen in other dysarthrias)
other oral mech findings maybe normal
What are some oral mech findings in hypokinetic dysarthria?
-orofacial tremors
-masked face
-
what are some oral mech findings in hyperkinetic dysarthrias?
- abnormal movements in both rest and speech
- not seen in other dysarthrias
Oral mech findings for UUMN
-unilateral facial and lingual weakness without atrophy and fasciculations
What are some speech findings for flaccid dysarthria?
what happens to speech characteristics in flaccid dysarthria if the Xth Nerve (Vagus) is affected?
may see:
- breathiness
- diplophonia
- audible inspiration
- and short phrases
