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Functional foreign accent syndrome.

Authors
  • Lee, Omay1
  • Ludwig, Lea2
  • Davenport, Richard1
  • Stone, Jon1
  • 1 Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK.
  • 2 Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK Department of Clinical Psychology and Psychotherapy, University of Hamburg, Hamburg, Germany.
Type
Published Article
Journal
Practical neurology
Publication Date
October 2016
Volume
16
Issue
5
Pages
409–411
Identifiers
DOI: 10.1136/practneurol-2016-001376
PMID: 27234850
Source
Medline
Keywords
License
Unknown

Abstract

Foreign accent syndrome (FAS) is a rare disorder where the affected person speaks in an accent that the listener perceives as foreign. Although most cases have left hemisphere lesions, some may be functional. We describe a case of functional FAS and present a video of her speech. We identify characteristics that help to distinguish functional from structural cases. These include preceding motor disturbances causing the maladaptive speech response, inconsistencies in accent production, the adoption of unusual mannerisms in speech and the speech disturbances being transient and reversible. We conclude that FAS is a complex disorder encompassing both functional and structural causes.

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