Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome
Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder w...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.3233/BEN-2011-0332 |
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| author | Harrison N. Jones Tyler J. Story Timothy A. Collins Daniel DeJoy Christopher L. Edwards |
| author_facet | Harrison N. Jones Tyler J. Story Timothy A. Collins Daniel DeJoy Christopher L. Edwards |
| author_sort | Harrison N. Jones |
| collection | DOAJ |
| description | Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder with perceptual features that suggest an indistinct, non-native speaking accent. Also correctly known as psuedoforeign accent, the speech does not typically match a specific foreign accent, but is rather a constellation of speech features that result in the perception of a foreign accent by listeners. The primary etiologies of FAS are cerebrovascular accidents or traumatic brain injuries which affect cortical and subcortical regions critical to expressive speech and language production. Far fewer cases of FAS associated with psychiatric conditions have been reported. We will present the clinical history, neurological examination, neuropsychological assessment, cognitive-behavioral and biofeedback assessments, and motor speech examination of a patient with FAS without a known vascular, traumatic, or infectious precipitant. Repeated multidisciplinary examinations of this patient provided convergent evidence in support of FAS secondary to conversion disorder. We discuss these findings and their implications for evaluation and treatment of rare neurological and psychiatric conditions. |
| format | Article |
| id | doaj-art-103284d467a142619a16dad2f1d062dd |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-103284d467a142619a16dad2f1d062dd2025-02-03T01:00:29ZengWileyBehavioural Neurology0953-41801875-85842011-01-0124324525510.3233/BEN-2011-0332Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent SyndromeHarrison N. Jones0Tyler J. Story1Timothy A. Collins2Daniel DeJoy3Christopher L. Edwards4Department of Surgery, Division of Speech Pathology and Audiology, Duke University Medical Center, NC, USADepartment of Medicine, Division of Neurology, Duke University Medical Center, NC, USADepartment of Medicine, Division of Neurology, Duke University Medical Center, NC, USADepartment of Communications, North Carolina State University, Duke University Medical Center, NC, USADepartment of Psychiatry, Division of Medical Psychology, Duke University Medical Center, NC, USAMultiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder with perceptual features that suggest an indistinct, non-native speaking accent. Also correctly known as psuedoforeign accent, the speech does not typically match a specific foreign accent, but is rather a constellation of speech features that result in the perception of a foreign accent by listeners. The primary etiologies of FAS are cerebrovascular accidents or traumatic brain injuries which affect cortical and subcortical regions critical to expressive speech and language production. Far fewer cases of FAS associated with psychiatric conditions have been reported. We will present the clinical history, neurological examination, neuropsychological assessment, cognitive-behavioral and biofeedback assessments, and motor speech examination of a patient with FAS without a known vascular, traumatic, or infectious precipitant. Repeated multidisciplinary examinations of this patient provided convergent evidence in support of FAS secondary to conversion disorder. We discuss these findings and their implications for evaluation and treatment of rare neurological and psychiatric conditions.http://dx.doi.org/10.3233/BEN-2011-0332 |
| spellingShingle | Harrison N. Jones Tyler J. Story Timothy A. Collins Daniel DeJoy Christopher L. Edwards Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome Behavioural Neurology |
| title | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
| title_full | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
| title_fullStr | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
| title_full_unstemmed | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
| title_short | Multidisciplinary Assessment and Diagnosis of Conversion Disorder in a Patient with Foreign Accent Syndrome |
| title_sort | multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome |
| url | http://dx.doi.org/10.3233/BEN-2011-0332 |
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