Cargando…
Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome
Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder w...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
IOS Press
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377984/ https://www.ncbi.nlm.nih.gov/pubmed/21876264 http://dx.doi.org/10.3233/BEN-2011-0332 |
_version_ | 1782519385693356032 |
---|---|
author | Jones, Harrison N. Story, Tyler J. Collins, Timothy A. DeJoy, Daniel Edwards, Christopher L. |
author_facet | Jones, Harrison N. Story, Tyler J. Collins, Timothy A. DeJoy, Daniel Edwards, Christopher L. |
author_sort | Jones, Harrison N. |
collection | PubMed |
description | Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder with perceptual features that suggest an indistinct, non-native speaking accent. Also correctly known as psuedoforeign accent, the speech does not typically match a specific foreign accent, but is rather a constellation of speech features that result in the perception of a foreign accent by listeners. The primary etiologies of FAS are cerebrovascular accidents or traumatic brain injuries which affect cortical and subcortical regions critical to expressive speech and language production. Far fewer cases of FAS associated with psychiatric conditions have been reported. We will present the clinical history, neurological examination, neuropsychological assessment, cognitive-behavioral and biofeedback assessments, and motor speech examination of a patient with FAS without a known vascular, traumatic, or infectious precipitant. Repeated multidisciplinary examinations of this patient provided convergent evidence in support of FAS secondary to conversion disorder. We discuss these findings and their implications for evaluation and treatment of rare neurological and psychiatric conditions. |
format | Online Article Text |
id | pubmed-5377984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | IOS Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-53779842017-04-16 Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome Jones, Harrison N. Story, Tyler J. Collins, Timothy A. DeJoy, Daniel Edwards, Christopher L. Behav Neurol Clinical Note Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder with perceptual features that suggest an indistinct, non-native speaking accent. Also correctly known as psuedoforeign accent, the speech does not typically match a specific foreign accent, but is rather a constellation of speech features that result in the perception of a foreign accent by listeners. The primary etiologies of FAS are cerebrovascular accidents or traumatic brain injuries which affect cortical and subcortical regions critical to expressive speech and language production. Far fewer cases of FAS associated with psychiatric conditions have been reported. We will present the clinical history, neurological examination, neuropsychological assessment, cognitive-behavioral and biofeedback assessments, and motor speech examination of a patient with FAS without a known vascular, traumatic, or infectious precipitant. Repeated multidisciplinary examinations of this patient provided convergent evidence in support of FAS secondary to conversion disorder. We discuss these findings and their implications for evaluation and treatment of rare neurological and psychiatric conditions. IOS Press 2011 2011-08-29 /pmc/articles/PMC5377984/ /pubmed/21876264 http://dx.doi.org/10.3233/BEN-2011-0332 Text en Copyright © 2011 Hindawi Publishing Corporation and the authors. http://creativecommons.org/licenses/by/3.0 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Note Jones, Harrison N. Story, Tyler J. Collins, Timothy A. DeJoy, Daniel Edwards, Christopher L. Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title_full | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title_fullStr | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title_full_unstemmed | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title_short | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
title_sort | multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome |
topic | Clinical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377984/ https://www.ncbi.nlm.nih.gov/pubmed/21876264 http://dx.doi.org/10.3233/BEN-2011-0332 |
work_keys_str_mv | AT jonesharrisonn multidisciplinaryassessmentanddiagnosisofconversiondisorderinapatientwithforeignaccentsyndrome AT storytylerj multidisciplinaryassessmentanddiagnosisofconversiondisorderinapatientwithforeignaccentsyndrome AT collinstimothya multidisciplinaryassessmentanddiagnosisofconversiondisorderinapatientwithforeignaccentsyndrome AT dejoydaniel multidisciplinaryassessmentanddiagnosisofconversiondisorderinapatientwithforeignaccentsyndrome AT edwardschristopherl multidisciplinaryassessmentanddiagnosisofconversiondisorderinapatientwithforeignaccentsyndrome |