脳梁の梗塞性病変による症候性吃音

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  • Acquired stuttering associated with callosal infarction.

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A 56-year-old male patient with acquired stuttering was reported. He was an ambidextrous office worker without a history of stuttering until onset of the present illness. Following a callosal infarction, he developed left hemiparesis and speech dysfluency characterized by initial syllable repetitions. Speech dysfluency resolved with time, by 5 months post onset. Adaptation and consistency effects and secondary symptoms were not detected during the interim. A callosal lesion was identified by CT scan and MRI.<BR>The nature of this patient's speech dysfluency was determined as acquired stuttering after ruling out other acquired speech dysfluency syndromes such as cluttering and palilalia. The important speech symptoms in discriminating speech disturbances with repetitive dysfluency were discussed.<BR>Previous studies reporting acquired stuttering without other speech disturbances were reviewed with special emphasis on speech symptoms and lesion localizations.

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