Episodic dysarthria related to vascular medullary compression
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Episodic monomorphic complaints such as facial hemispasm, trigeminal neuralgia and typewriter tinnitus are considered pathognomonic for nerve-vessel-contact situations . We present a case of episodic dysarthria as a manifestation of a vascular loop syndrome which has not been reported before. Oral informed consent was obtained from the patient prior to each examination as well as permission to publish the data.
At time of admission, a 58 year-old, right-handed gentleman recurrently had brief episodes of slurred articulation during free conversation. Audio-file analysis revealed that dysarthric episodes were triggered during spontaneous speech, singing as well as reading aloud of a standardized text. Events had occurred periodically lasting 20 (±2) s and were followed by asymptomatic intervals of 84 (±10) s. During episodes, the intelligibility of his speech was reduced which affected his work as administrator of an insurance company. He reported a lack of control over...
KeywordsTrigeminal Neuralgia Spontaneous Speech Motor Speech Cranial Nerve Nucleus Acoustic Speech Signal
We are grateful to the patient Mr. M. R. for his support and engagement in conducting the studies.
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