Salter Ethan, Salter Sophia I, Im William, Kim Aengela J, Williams Rachel, Liou Christina, Liu Stephen, Liu Antonio K
Neurology, Adventist Health White Memorial, Los Angeles, USA.
Internal Medicine, Adventist Health White Memorial, Los Angeles, USA.
Cureus. 2024 Sep 15;16(9):e69466. doi: 10.7759/cureus.69466. eCollection 2024 Sep.
Stuttering is a complex speech disorder that is associated with a variety of etiologies, including psychological factors, metabolic disorders, and structural abnormalities. While stuttering is typically not caused by stroke, it is important to include it in the diagnostic evaluation, especially in patients with a history of neurological conditions. Of the clinical presentations of stroke-induced stuttering, transient stuttering following stroke has seldom been documented, as most patients who develop a stutter following a stroke end up developing permanent speech deficits. Additionally, as most cases of stroke-induced stuttering are part of a broader neurological presentation, stuttering generally does not present as an isolated symptom. Furthermore, although strokes of various sizes have been implicated in stuttering, it is quite uncommon for the affected lesion to be smaller than 1 cm. We present a rare case of transient, isolated stuttering following a subcentimeter stroke and a subsequent review of relevant literature. Our case report highlights the diversity of stroke-related speech disorders and the importance of considering even minor strokes in the differential diagnosis of stuttering.
口吃是一种复杂的言语障碍，与多种病因相关，包括心理因素、代谢紊乱和结构异常。虽然口吃通常不是由中风引起的，但在诊断评估中包括对口吃的评估很重要，尤其是在有神经系统疾病史的患者中。在中风引起的口吃的临床表现中，中风后短暂性口吃很少有文献记载，因为大多数中风后出现口吃的患者最终会发展为永久性言语缺陷。此外，由于大多数中风引起的口吃病例是更广泛的神经系统表现的一部分，口吃通常不会作为孤立症状出现。此外，尽管各种大小的中风都与口吃有关，但受影响的病变小于1厘米的情况相当罕见。我们报告了一例罕见的亚厘米级中风后出现短暂性、孤立性口吃的病例，并对相关文献进行了综述。我们的病例报告强调了与中风相关的言语障碍的多样性，以及在口吃的鉴别诊断中考虑即使是轻微中风的重要性。
