Repetitive speech and omission phenomenon after right Putaminal hemorrhage

DOI 1 Citations 28 References
  • Inoue Tomoko
    Department of Rehabilitation, Kawasaki Cooperative Hospital.
  • Ihori Nami
    Department of Rehabilitation, Kawasaki Cooperative Hospital.
  • Araki Shigeo
    Department of Neurology, Kawasaki Cooperative Hospital
  • Sashika Hironobu
    Department of Rehabilitation, Yokohama City University Medical Center
  • Kawamura Mitsuru
    Department of Neurology, Showa University School of Medicine

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  • 右被殻出血後に発話の反復現象と省略現象を呈した一例

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Abstract

  We reported a right-handed woman in her fifties who showed repetitive speech and omission of postposition-al particles and ends of words and sentences after right putaminal hemorrhage. <br>  Since she showed repetition of words and syllables at the same ratio, we diagnosed palilalia with acquired stuttering. We gave her speech therapy using the mora-by-mora method with finger-counting gestures, which was effective in decreasing both her palilalia and omission phenomenon but only temporarily effective in decreasing her acquired stuttering. <br>  We discussed the following three points : <br> (1) Her repetitive speech might have been caused by diffuse dysfunction of the entire right hemisphere including the frontal lobe. This might have caused a breakdown of the inhibitory mechanisms of speech and/or deficits in coordination of speech movements that may be achieved through integration of both hemispheres. <br> (2) Omission phenomenon might be related to her severe attentional disorders and impatience in performing actions(impediment in pacing). <br> (3) Indifference to her speech disorders might contribute to her repetitive speech and omission phenomenon.

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