PMID: 9161381May 1, 1997Paper

Reversion to a previously learned foreign accent after stroke

Archives of Physical Medicine and Rehabilitation
E J RothK D Hall

Abstract

Foreign accent syndrome occurs rarely after stroke. Most patients with this syndrome develop an aphasia characterized by a new accent. This report presents a 48-year-old man who sustained a left parietal hemorrhagic stroke resulting in right hemiparesis and the inability to speak. As spontaneous speech emerged several weeks later, he was noted to have a Broca's aphasia and a Dutch accent. Analysis of his speech demonstrated final consonant deletion, substitution of "d" for "th" sounds, vowel distortions, additional "uh" syllables added at the end of words, and errors in voicing. This speech pattern has persisted for more than 5 years after the stroke. Elicitation of additional history found that the patient was born in Holland and lived there until the age of 5 years, when he moved to the United States with his family. Before his stroke, he had no foreign accent. This report illustrates the importance of considering foreign accent syndrome during aphasia recovery and suggests several pathogenetic mechanisms that may contribute to the development of this syndrome.

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Citations

Nov 13, 2004·European Neurology·D H ChristophA Carota
May 20, 2011·Clinical Linguistics & Phonetics·Erika S LevyFranzo Law
Oct 22, 2008·Clinical Neurology and Neurosurgery·Taylor J AbelDaniel L Silbergeld
Nov 26, 2015·Frontiers in Human Neuroscience·Marcelo L BerthierRafael Ruiz-Cruces
Feb 1, 2011·Clinical Linguistics & Phonetics·Jana Dankovičová, Claire Hunt
Jun 17, 2008·Journal of the American Geriatrics Society·Marianne K G Tanabe, Diane Faran
Jun 24, 2008·Clinical Linguistics & Phonetics·William F KatzJune Levitt
Dec 1, 2012·Neuropsychologia·Ignacio Moreno-TorresCristóbal Carnero-Pardo
Jun 17, 2004·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Jacqueline I BakkerLuanne M Metz
May 22, 2021·Frontiers in Aging Neuroscience·Marcelo L BerthierGuadalupe Dávila

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