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Reversion to a previously learned foreign accent after stroke

E J Roth1, K Fink, L R Cherney

  • 1Department of Physical Medicine and Rehabilitation, Northwestern University Medical School, Chicago, IL, USA.

Archives of Physical Medicine and Rehabilitation
|May 1, 1997
PubMed
Summary
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Foreign accent syndrome (FAS) is a rare stroke complication where patients develop a new accent. This case highlights FAS with Broca's aphasia and a persistent Dutch accent post-stroke.

Area of Science:

  • Neurology
  • Linguistics
  • Speech-Language Pathology

Background:

  • Foreign accent syndrome (FAS) is an uncommon post-stroke condition.
  • It typically manifests as aphasia with a perceived change in speech accent.

Observation:

  • A 48-year-old male experienced a left parietal hemorrhagic stroke, leading to right hemiparesis and aphasia.
  • Upon speech recovery, he presented with Broca's aphasia and a distinct Dutch accent, despite prior native English speech.
  • Speech analysis revealed phonological errors including consonant deletion, sound substitutions, vowel distortions, and voicing errors.

Findings:

  • The patient exhibited a persistent foreign accent syndrome with Broca's aphasia for over five years.
  • He was born in Holland, lived there until age five, then moved to the US, with no prior foreign accent.

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  • The case underscores the importance of considering FAS in aphasia recovery.

    • Implications:

    • This case contributes to understanding the complex relationship between stroke, aphasia, and accent alteration.
    • It prompts further research into the pathogenetic mechanisms underlying foreign accent syndrome.
    • Clinicians should consider FAS in the differential diagnosis of speech changes following stroke.