Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage

A variety of involuntary speech phenomena as for example palilalia have been described as consequences of neurological disorders. Palilalia is the involuntary repetition of syllabels, words and phrases in ongoing speech. We describe a 73 year old woman who suffered from a hypertensive thalamic haemo...

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Main Authors: T. Dietl, D. P. Auer, S. Modell, C. Lechner, C. Trenkwalder
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2003/980839
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author T. Dietl
D. P. Auer
S. Modell
C. Lechner
C. Trenkwalder
author_facet T. Dietl
D. P. Auer
S. Modell
C. Lechner
C. Trenkwalder
author_sort T. Dietl
collection DOAJ
description A variety of involuntary speech phenomena as for example palilalia have been described as consequences of neurological disorders. Palilalia is the involuntary repetition of syllabels, words and phrases in ongoing speech. We describe a 73 year old woman who suffered from a hypertensive thalamic haemorrhage. MRI revealed that the lesion was predominantly located within the pulvinar, extending to the lateroposterior thalamic nuclei and to the pretectal area with possible involvement of the medial geniculate body. Few months after the event she developed involuntary vocalisations with whole words and meaningless syllables being rapidly reiterated. In contrast to typical palilalia these vocalisations were not meaningfully related to the ongoing speech of the patient. In addition, the patient developed a complex hyperkinetic movement disorder with right-sided painful hemidystonia and bilateral clonic jerks and a right-sided postural tremor.
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series Behavioural Neurology
spelling doaj-art-f5c506b857b743bab8b9b176405e5d292025-02-03T05:45:31ZengWileyBehavioural Neurology0953-41801875-85842003-01-01143-49910210.1155/2003/980839Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic HaemorrhageT. Dietl0D. P. Auer1S. Modell2C. Lechner3C. Trenkwalder4Max Planck Institute of Psychiatry, Kraepelinstr. 10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstr. 10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstr. 10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstr. 10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstr. 10, 80804 Munich, GermanyA variety of involuntary speech phenomena as for example palilalia have been described as consequences of neurological disorders. Palilalia is the involuntary repetition of syllabels, words and phrases in ongoing speech. We describe a 73 year old woman who suffered from a hypertensive thalamic haemorrhage. MRI revealed that the lesion was predominantly located within the pulvinar, extending to the lateroposterior thalamic nuclei and to the pretectal area with possible involvement of the medial geniculate body. Few months after the event she developed involuntary vocalisations with whole words and meaningless syllables being rapidly reiterated. In contrast to typical palilalia these vocalisations were not meaningfully related to the ongoing speech of the patient. In addition, the patient developed a complex hyperkinetic movement disorder with right-sided painful hemidystonia and bilateral clonic jerks and a right-sided postural tremor.http://dx.doi.org/10.1155/2003/980839
spellingShingle T. Dietl
D. P. Auer
S. Modell
C. Lechner
C. Trenkwalder
Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
Behavioural Neurology
title Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
title_full Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
title_fullStr Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
title_full_unstemmed Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
title_short Involuntary Vocalisations and a Complex Hyperkinetic Movement Disorder Following Left Side Thalamic Haemorrhage
title_sort involuntary vocalisations and a complex hyperkinetic movement disorder following left side thalamic haemorrhage
url http://dx.doi.org/10.1155/2003/980839
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