Other neurogenic speech disturbances

Question 1

Neurogenic dysfluency

Answer 1

• acquired stuttering, cortical stuttering, etc

- direct result of neurologic disease, stroke, CHI

Question 2

Primary characteristics of ND

Answer 2

• sound or syllable repetitions, prolongations, hesitations
• no adaptation or improvement (like when singing)
• not restricted to initial syllables
• dysfluent on content & function words
• no diff btwn spont & imitation
• don’t show anxiety

Question 3

Why do we need to use the term neurogenic when referring to this kind of stuttering?

Answer 3

• to avoid confusion w/ developmental stuttering

- avoids assuming all acquired dysfluencies have the same cause

Question 4

Palilalia

Answer 4

• compulsive repetition of utterances
• happens near end of utterances
• both spont & elicited
• often aware of it & annoyed
• keeps company w/ tics
• lower level deficit, failure to inhibit

Question 5

lesion site for palilalia

Answer 5

bilateral BG

Question 6

What dysarthria is associated w/ palilalia?

Answer 6

Hypokinetic

Question 7

Echolalia

Answer 7

• repetition of another’s utterances, unsolicited
• can be automatic & effortless, compulsive, parrotlike, w/o meaning
• higher level, cognitive deficit

Question 8

Mitigated echolalia

Answer 8

• part of an utterance can have changes to reflect understanding
• can be a form of communicated

Question 9

Ambient echolalia

Answer 9

• repeating things in the background such as conversations, TV, radio, etc

Question 10

Foreign Accent Syndrome

Answer 10

• disorder in which articulatory & prosodic characteristics are perceived as a foreign accent
• not lang specific
• associated w/ MS and FAS
• causes: Stroke, CHI - frontoparietal, cerebellum
• if you put them beside a person w/ that actual accent they sound nothing alike