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Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome.

Publication ,  Journal Article
Jones, HN; Story, TJ; Collins, TA; Dejoy, D; Edwards, CL
Published in: Behav Neurol
2011

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.

Duke Scholars

Published In

Behav Neurol

DOI

EISSN

1875-8584

Publication Date

2011

Volume

24

Issue

3

Start / End Page

245 / 255

Location

Netherlands

Related Subject Headings

  • Syndrome
  • Speech Disorders
  • Neuropsychological Tests
  • Humans
  • Female
  • Experimental Psychology
  • Conversion Disorder
  • Adult
  • 1702 Cognitive Sciences
  • 1109 Neurosciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jones, H. N., Story, T. J., Collins, T. A., Dejoy, D., & Edwards, C. L. (2011). Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome. Behav Neurol, 24(3), 245–255. https://doi.org/10.3233/BEN-2011-0332
Jones, Harrison N., Tyler J. Story, Timothy A. Collins, Daniel Dejoy, and Christopher L. Edwards. “Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome.Behav Neurol 24, no. 3 (2011): 245–55. https://doi.org/10.3233/BEN-2011-0332.
Jones HN, Story TJ, Collins TA, Dejoy D, Edwards CL. Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome. Behav Neurol. 2011;24(3):245–55.
Jones, Harrison N., et al. “Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome.Behav Neurol, vol. 24, no. 3, 2011, pp. 245–55. Pubmed, doi:10.3233/BEN-2011-0332.
Jones HN, Story TJ, Collins TA, Dejoy D, Edwards CL. Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome. Behav Neurol. 2011;24(3):245–255.

Published In

Behav Neurol

DOI

EISSN

1875-8584

Publication Date

2011

Volume

24

Issue

3

Start / End Page

245 / 255

Location

Netherlands

Related Subject Headings

  • Syndrome
  • Speech Disorders
  • Neuropsychological Tests
  • Humans
  • Female
  • Experimental Psychology
  • Conversion Disorder
  • Adult
  • 1702 Cognitive Sciences
  • 1109 Neurosciences