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A Case of Steroid-Associated Expressive Aphasia
Aliza Rizwan1, Yechiel S Mor1, Allan P Frank1
1Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.
Cureus
|November 22, 2021
Summary
Steroid use can cause expressive aphasia, a condition where individuals struggle to produce speech. This reversible side effect, previously undescribed, is important to recognize for proper treatment.
Area of Science:
- Neurology
- Pharmacology
Background:
- Expressive aphasia, or non-fluent aphasia, impairs word and sentence production.
- Stroke affecting Broca's area is the most common cause of expressive aphasia.
Observation:
- A previously undescribed, reversible cause of purely expressive aphasia was observed.
- This presentation was secondary to steroid (dexamethasone) use.
Findings:
- Steroid-induced expressive aphasia is a novel finding in medical literature.
- Recognition is critical for appropriate patient therapy and reducing morbidity.
Implications:
- Increased dexamethasone use, especially post-COVID-19, heightens the relevance of this finding.
- Clinicians should consider steroid-induced aphasia in differential diagnoses.
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