TY - JOUR
T1 - Reversion to a previously learned foreign accent after stroke
AU - Roth, Elliot J.
AU - Fink, Kathleen
AU - Cherney, Leora R.
AU - Hall, Kelly D.
N1 - Funding Information:
From the Department of Physical Medicine and Rehabilitation, Northwestern University Medical School, and the Rehabilitation Institute of Chicago (Drs. Roth, Fink, Cherney), Chicago; and the Department of CommunicativeD isorders, Northern Illinois University (Dr. Hall), DeKalb, IL. Submitted for publication October 10, 1995. Accepted in revised form September 25, 1996. Supported in part by the Rehabilitation Research and Training Center on Enhancing Quality of Life of Stroke Survivors, sponsored by the US Department of Education National Institute on Disability and Rehabilitation Research (grant H133B30024-94), The Dr. Scholl Foundation, The Henry Foundation, and the Rehabilitation Institute of Chicago. Presented at the 56th Annual Assembly of the American Academy of PhysieaI Medicine and Rehabilitation, Anaheim, CA, October 1994. No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated. Reprint requests to Elliot J. Roth, MD, Rehabilitation Institute of Chicago, 345 E. Superior Street, Chicago, IL 60611. © 1997 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation 0003-9993/97/7805-372653.00/0 Reports of many previous cases have noted the presence of a mild aphasia that emerged from a nonfluent, agrammatic aphasia. Some patients also exhibited a mild dysarthria. A recent report by Takayama 6 was the first to describe a patient with foreign accent syndrome but no aphasia. In most cases the patients presented with the development of a new foreign accent without having been exposed to that accent in the past. 3-5'7-12 This report describes a second patient who had exposure to a particular language in the distant past, lost the accent, and after stroke reacquired speech patterns characteristic of that previous language.
PY - 1997/5
Y1 - 1997/5
N2 - Foreign accent syndrome occurs rarely after stroke. Most patients with this syndrome develop an aphasia characterized by anew 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 constant 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 suggest several pathogenic mechanism that may contribute to the development of this syndrome.
AB - Foreign accent syndrome occurs rarely after stroke. Most patients with this syndrome develop an aphasia characterized by anew 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 constant 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 suggest several pathogenic mechanism that may contribute to the development of this syndrome.
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U2 - 10.1016/S0003-9993(97)90176-3
DO - 10.1016/S0003-9993(97)90176-3
M3 - Article
C2 - 9161381
AN - SCOPUS:0030907685
VL - 78
SP - 550
EP - 552
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 5
ER -