Grant A C, Biousse V, Cook A A, Newman N J
Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Arch Neurol. 1999 May;56(5):624-7. doi: 10.1001/archneur.56.5.624.
To present patients with stuttering speech in association with stroke.
Case series with follow-up for 5 years, or until the stuttering resolved.
University and community hospital neurology wards, and ambulatory neurology clinics.
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.
The clinical presentation of stroke-associated stuttering is variable, as are the locations of the implicated infarctions.
介绍与中风相关的口吃患者。
病例系列研究,随访5年,或直至口吃症状消失。
大学和社区医院的神经科病房以及门诊神经科诊所。
4例因急性缺血性中风出现口吃的患者。一名68岁男性因左侧大脑中动脉大面积分布性中风急性出现口吃。一名59岁男性儿童时期曾口吃,在左侧颞叶梗死2个月后,随着非流利性失语症的改善,开始再次口吃。另一名儿童时期口吃者,一名59岁的原左利手男性,因右侧顶叶梗死出现严重但短暂的口吃。一名55岁男性因左侧枕叶梗死出现右侧偏盲和后天性口吃,且对此毫无察觉。
与中风相关的口吃临床表现各异,受累梗死部位也各不相同。