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Journal of Neurology

, Volume 257, Issue 2, pp 296–299 | Cite as

Episodic dysarthria related to vascular medullary compression

  • Christina HaubrichEmail author
  • Nina Kleiser
  • Christoph Kosinski
  • Michael Mull
  • Bernd J. Kröger
  • Dagny Esser
  • Bernd Fimm
  • Walter Huber
Letter to the editors
  • 155 Downloads

Dear Sirs,

Episodic monomorphic complaints such as facial hemispasm, trigeminal neuralgia and typewriter tinnitus are considered pathognomonic for nerve-vessel-contact situations [1]. 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...

Keywords

Trigeminal Neuralgia Spontaneous Speech Motor Speech Cranial Nerve Nucleus Acoustic Speech Signal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgment

We are grateful to the patient Mr. M. R. for his support and engagement in conducting the studies.

Supplementary material

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Supplementary material 1 (WAV 3680 kb)
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Supplementary material 2 (WAV 2507 kb)

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    Savitz SI, Rhontal M, Caplan LR (2006) Vertebral artery compression of the medulla. Arch Neurol 63:234–241CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Christina Haubrich
    • 1
    Email author
  • Nina Kleiser
    • 2
  • Christoph Kosinski
    • 5
  • Michael Mull
    • 3
  • Bernd J. Kröger
    • 4
  • Dagny Esser
    • 5
  • Bernd Fimm
    • 1
  • Walter Huber
    • 2
  1. 1.Department of NeurologyUniversity Hospital AachenAachenGermany
  2. 2.Section NeurolinguisticsUniversity Hospital, RWTH Aachen UniversityAachenGermany
  3. 3.Department of NeuroradiologyUniversity Hospital, RWTH Aachen UniversityAachenGermany
  4. 4.Department of Phoniatry and PedaudiologyUniversity Hospital, RWTH Aachen UniversityAachenGermany
  5. 5.Department of NeurologyMedical Center Aachen/BardenbergAachenGermany

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