Dysarthria: Difference between revisions
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==Background== | ==Background== | ||
*Motor speech disorder characterized by poor articulation of language sounds or pronounciation<ref> Duffy, J. Defining, Understanding, and Categorizing Motor Speech Disorders. In: Duffy, J. ''Motor Speech Disorders: Substrates, Differential Diagnosis, and Management.'' 3rd ed. . St. Louis, Mo: Elsevier Mosby; 2012 ISBN 0323024521.</ref> | *Motor speech disorder characterized by poor articulation of language sounds or pronounciation<ref> Duffy, J. Defining, Understanding, and Categorizing Motor Speech Disorders. In: Duffy, J. ''Motor Speech Disorders: Substrates, Differential Diagnosis, and Management.'' 3rd ed. . St. Louis, Mo: Elsevier Mosby; 2012 ISBN 0323024521.</ref> | ||
**Includes abnormality to any of the following: breath control, '''duration of syllables''', pitch, range, speed, steadiness, '''timing''', tone, '''vocal quality''', pitch, volume<ref>MacKenzie, C (2011). "Dysarthria in stroke: A narrative review of its description and the outcome of intervention". International Journal of Speech-Language Pathology 13 (2): 125–36. doi:10.3109/17549507.2011.524940. PMID 21480809</ref> | |||
*Cranial nerves involved include trigeminal nerve's motor branch (V), facial nerve (VII), glossopharyngeal nerve (IX), vagus nerve (X), and hypoglossal nerve (XII). | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 02:53, 18 February 2016
Background
- Motor speech disorder characterized by poor articulation of language sounds or pronounciation[1]
- Includes abnormality to any of the following: breath control, duration of syllables, pitch, range, speed, steadiness, timing, tone, vocal quality, pitch, volume[2]
- Cranial nerves involved include trigeminal nerve's motor branch (V), facial nerve (VII), glossopharyngeal nerve (IX), vagus nerve (X), and hypoglossal nerve (XII).
Clinical Features
Differential Diagnosis
Stroke Types
Weakness
Neuromuscular weakness
- UMN:
- Spinal cord disease:
- Infection (Epidural Abscess (Spinal))
- Infarction/ischemia
- Trauma (Spinal Cord Syndromes)
- Inflammation (Transverse Myelitis)
- Tumor
- Peripheral nerve disease:
- Guillain-Barre syndrome
- Toxins (Ciguatera)
- Tick paralysis
- DM neuropathy (non-emergent)
- NMJ disease:
- Muscle disease:
- Rhabdomyolysis
- Dermatomyositis
- Polymyositis
- Alcoholic myopathy
- Non-neuromuscular weakness
- Can't miss diagnoses:
- Sepsis (Main)
- Hypoglycemia
- Periodic paralysis (electrolyte disturbance, K, Mg, Ca)
- Respiratory failure
- Can't miss diagnoses:
Diagnosis
Management
Disposition
See Also
External Links
References
- ↑ Duffy, J. Defining, Understanding, and Categorizing Motor Speech Disorders. In: Duffy, J. Motor Speech Disorders: Substrates, Differential Diagnosis, and Management. 3rd ed. . St. Louis, Mo: Elsevier Mosby; 2012 ISBN 0323024521.
- ↑ MacKenzie, C (2011). "Dysarthria in stroke: A narrative review of its description and the outcome of intervention". International Journal of Speech-Language Pathology 13 (2): 125–36. doi:10.3109/17549507.2011.524940. PMID 21480809