PMID: 8956103Nov 1, 1996Paper

Adult onset of stuttering as a presenting sign in a parkinsonian-like syndrome: a case report

Journal of Communication Disorders
S B Leder

Abstract

Stuttering onset in adulthood is rare. With no prior history of stuttering or demonstrable neurological insult, diagnosis is often that of a conversion reaction. Stuttering as the first sign of a parkinsonian-like syndrome in extrapyramidal disease has only been reported once in the previous 30 years (Koller, 1983). The present case study differs from and builds upon the case reports in the literature, and describes a 29-year-old white male who began stuttering purportedly secondary to psychological stress. The fluency evaluation revealed severe stuttering characterized by multiple repetitions and/or blocks, with 20 or more repetitions per word routinely noted during both conversational speech and oral reading. No starters or secondary stuttering characteristics, no specific word fears or avoidances, and no situational fears were exhibited. The subsequent neurological examination found resting tremor in hands and legs, lingual fasciculations, gait imbalance, and numbness and tingling of the hands and feet, all of which were progressive in nature. Rehabilitation initially focused on fluency therapy, but then included psychiatric therapy, and finally medical intervention. Fluency and psychiatric therapies were unsuccessful in eli...Continue Reading

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Citations

Mar 7, 2012·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Fidias E Leon-SarmientoMark Hallett
Apr 23, 2003·Journal of Fluency Disorders·Alexander M Goberman, Michael Blomgren
Jun 5, 2003·Parkinsonism & Related Disorders·Hilda F MulliganIvan M Donaldson
Feb 19, 2008·Journal of Fluency Disorders·Catherine TheysLuc F De Nil
Jan 15, 2015·Journal of Neural Transmission·Tereza TykalováEvžen Růžička
May 16, 2007·The American Journal of Hospice & Palliative Care·Phuc H Duong, Gilbert B Zulian
Jun 19, 2018·PloS One·Fabiola Staróbole JusteClaudia Regina Furquim de Andrade
Jul 30, 2020·International Journal of Language & Communication Disorders·Massimiliano RuggeriCarlo Blundo
Mar 7, 2019·Movement Disorders Clinical Practice·Hannah ImMandar Jog
Feb 13, 2020·Frontiers in Psychology·Soo-Eun Chang, Frank H Guenther
Jul 27, 2017·CoDAS·Fabiola Staróbole Juste, Claudia Regina Furquim de Andrade

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