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Observation
May 1999

Stroke-Associated Stuttering

Author Affiliations

From the Departments of Neurology (Drs Grant, Biousse, Cook, and Newman) and Ophthalmology and Neurosurgery (Dr Newman), Emory University School of Medicine, Atlanta, Ga, and Hospital Saint-Antoine, Paris, France (Dr Biousse).

Arch Neurol. 1999;56(5):624-627. doi:10.1001/archneur.56.5.624
Abstract

Objective  To present patients with stuttering speech in association with stroke.

Design  Case series with follow-up for 5 years, or until the stuttering resolved.

Setting  University and community hospital neurology wards, and ambulatory neurology clinics.

Patients  Four patients who developed stuttering speech in association with an acute ischemic stroke. A 68-year-old man acutely developed stuttering with a large left middle cerebral artery distribution stroke. A 59-year-old man who had stuttered as a child began to stutter 2 months after a left temporal lobe infarction, as nonfluent aphasia was improving. Another childhood stutterer, a 59-year-old originally left-handed man developed severe but transient stuttering with a right parietal infarction. A 55-year-old man with a left occipital infarction had a right hemianopia and an acquired stutter, for which he was anosognosic.

Conclusion  The clinical presentation of stroke-associated stuttering is variable, as are the locations of the implicated infarctions.

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