Possible Causes for dysarthria Acute Alcohol Intoxication The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰. [ncbi.nlm.nih.gov] […] tend to have less tolerance than males typical 50-100 mg/dL: relaxation, sedation, prolonged reaction time,euphoria 100-200 mg/dL: impaired motor function and coordination, dysarthria [lifeinthefastlane.com] […] detected at PACU, especially neurological ones associated to alcohol intoxication, similar to inebriation, tachycardia, facial flushing, cold sweating, agitation and confusion, dysarthria [scielo.br] Alcohol Abuse We report a fatal case of fungal (candidal) endocarditis of the tricuspid valve with clinico-pathologically interesting findings following and associated with candidal pneumonia during long-term central venous catheterization (CVC) for intravenous therapy and long-term treatment with antibiotics for bacterial and[…] [ncbi.nlm.nih.gov] Substance Abuse Abstract Hospital-wide rumors and anecdotal reports had suggested that there was a potentially serious problem of alcohol and drug abuse among the psychiatric patients of this hospital. The authors describe a systematic, evaluative approach which gave direct and detailed information on the nature and extent of[…] [ncbi.nlm.nih.gov] Hypoglycemia 2015 ICD-9-CM Diagnosis Code 251.2 Hypoglycemia, unspecified 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 251.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251.2 should only be used for claims with a date of service on or before[…] [icd9data.com] Alzheimer Disease The clinical phenotype was remarkable for spastic dysarthria, limb spasticity, and seizures, in addition to more typical features of EOFAD. [ncbi.nlm.nih.gov] A four-generation pedigree exhibiting early-onset autosomal dominant Alzheimer disease (AD) with spastic paraplegia, dystonia, and dysarthria due to a novel 6-nucleotide insertional [ncbi.nlm.nih.gov] […] family had disease onset in their 30s, with cognitive deficits in multiple domains, including memory, language, and attention, as well as less common features such as spastic dysarthria [ncbi.nlm.nih.gov] Stroke Dysarthria is more prevalent in left than in right hemisphere lesions. [ncbi.nlm.nih.gov] In our case series, all patients had dysarthria as a presenting symptom. [ncbi.nlm.nih.gov] Dysarthria is a frequent and persisting sequel to stroke and arises from varied lesion locations. [ncbi.nlm.nih.gov] Transient Ischemic Attack A 69-year-old gentleman presented with a TIA episode (dysarthria, right-arm weakness, and numbness). [ncbi.nlm.nih.gov] […] associated with an estimated 9% risk of stroke within 90 days. 1 We report the case of a 72-year-old female who presented with orthostatic symptoms of facial weakness and dysarthria [ncbi.nlm.nih.gov] This previously healthy 27-year-old man was admitted due to several daily episodes of usually left hemiparesis and dysarthria lasting between 15 seconds and 3 minutes. [ncbi.nlm.nih.gov] Hypothyroidism His dysarthria and fatigue had resolved. Stocking-and-glove sensory loss persisted. [neurology.org] Affected infants whose treatment is delayed can have neurologic problems such as spasticity and gait abnormalities, dysarthria or mutism, and autistic behavior. [emedicine.medscape.com] Neurologic examination was remarkable for moderate dysarthria and distal sensory loss in all extremities. [neurology.org] Migraine […] middle-aged man presented with intermittent episodes of a brief sensation of explosion in the head, visual flashing, vertigo, hearing loss, tinnitus, confusion, ataxia, dysarthria [ncbi.nlm.nih.gov] […] with increased odds of AIS included sudden symptom onset, weakness, seizures, speech disturbance, and ataxia, and signs of face, arm, or leg weakness, inability to walk, dysarthria [ncbi.nlm.nih.gov] Other more severe symptoms of FHM may include coma, fever, and meningismus; progressive ataxia, nystagmus, gait unsteadiness, limb incoordination, and dysarthria. [emedicine.com] Cerebral Thrombosis Abstract Cerebral venous thrombosis (CVT) is a severe multifactorial condition with various clinical manifestations that may include headache, papilledema, seizures, focal deficits, coma and death. The mortality rate of untreated CVT is up to 50%, but it drops to 10% when CVT is properly treated. Prevention of CVT is[…] [ncbi.nlm.nih.gov] Primary Progressive Multiple Sclerosis A 28-year-old woman developed progressive spastic gait and dysarthria. [ncbi.nlm.nih.gov] adj sclerot ic. familial centrolobar sclerosis a progressive familial form of leukoencephalopathy marked by nystagmus, ataxia, tremor, parkinsonian facies, dysarthria, [medical-dictionary.thefreedictionary.com] Fatigue, tremors, weakness, and incoordination exacerbate dysphagia and dysarthria. Spasticity is worsened by malnutrition. [hindawi.com] Parkinson Disease Other clinical features include secondary motor symptoms (eg, hypomimia, dysarthria, dysphagia, sialorrhoea, micrographia, shuffling gait, festination, freezing, dystonia, [ncbi.nlm.nih.gov] Muller J, Wenning GK, Verny M, McKee A, Chaudhuri KR, Jellinger K, Poewe W, Litvan I (2001) Progression of dysarthria and dysphagia in postmortem-confirmed parkinsonian disorders [doi.org] Parkinson's Disease Type 3 "Evidence for effectiveness of treatment of loudness, rate, or prosody in dysarthria: A systematic review". [en.wikipedia.org] Those with PSP also often have problems with swallowing (dysphagia), difficulty in producing speech (dysarthria), sleep problems, memory and thinking problems (dementia). [parkinson.org] 서론 파킨슨병(Parkinson disease, PD)은 중뇌 흑질의 도파민 신경세포의 결함으로 나타나는 신경학적 퇴행성 질환 중 하나이며, 과소운동형 마비말장애(hypokinetic dysarthria)로 언급된다. [eksss.org] Basilar Migraine The basilar-type aura had a median duration of 60 minutes and comprised vertigo 61%, dysarthria 53%, tinnitus 45%, diplopia 45%, bilateral visual symptoms 40%, bilateral paresthesias [ncbi.nlm.nih.gov] The basilar-type aura comprised diplopia 52%, vertigo 43%, tinnitus 43%, bilateral visual symptoms 39%, hypacusia 26%, ataxia 26%, dysarthria 22%, bilateral paresthesias 13% [ncbi.nlm.nih.gov] Sometimes with either aphasia or dysarthria 5. Aura symptoms almost always develop gradually, or occur in succession, over 5 minutes 6. Aura duration 5-120 minutes 7. [thedailymigraine.com] Epilepsy He developed gait imbalance, intentional tremor and dysarthria. [ncbi.nlm.nih.gov] The patient was a 27-year-old man with progressive action myoclonus, ataxia, epilepsy, dysarthria and absence of cognitive deterioration. [ncbi.nlm.nih.gov] He now has moderate intellectual disability (ID), dysarthria, and ataxia. Proband 2 had a normal early development. [ncbi.nlm.nih.gov] Vertebrobasilar Insufficiency Because the cerebellum is involved, survivors are often left with dysfunction of many organs including ataxia, hemiplegia, gaze abnormalities, dysarthria, dysphagia and cranial [ncbi.nlm.nih.gov] "Drop attacks:" Patient feels suddenly weak in the knees and fall Diplopia/Loss of vision Paresthesia Confusion Dysphagia/dysarthria Headache Altered consciousness Ataxia [ncbi.nlm.nih.gov] Dysphagia and dysarthria are common with VBI With brain stem lesions, unilateral Horner syndrome may be present Nausea, vertigo, nystagmus, and vomiting are common when the [ncbi.nlm.nih.gov] Cerebral Hemorrhage During the course of illness, the patient had an acute cerebral hemorrhage, which manifested with hemiparesis, dysarthria, and pathologic crying. [ncbi.nlm.nih.gov] He had fluent speech with a mild dysarthria and left facial droop. His sensation was intact and motor strength were intact except for persistent right sided weakness. [thoracic.org] • Dysarthria • Eyes deviate toward side of the lesion • Depressed level of consciousness: depends on size of hematoma • If large hematoma, brainstem signs develop and death [casemed.case.edu] Susac Syndrome Several months after her suicide attempt, she experienced a new onset of physiologic and neurologic symptoms, including dizziness, mild hearing loss, dysarthria, and ataxia [neuro.psychiatryonline.org] Focal CNS signs include ataxia, motor and sensory impairment, dysarthria and oculomotor dysfunction. Optic involvement includes scotoma and visual distortion. [orpha.net] This was accompanied by nausea, vertigo, left facial numbness, and dysarthria that lasted 3 hours. [n.neurology.org] Pseudobulbar Palsy Synonyms: 'bulbar palsy' - lower motor neurone dysarthria, neuromuscular dysarthria, atrophic bulbar paralysis; 'pseudobulbar palsy' - upper motor neurone dysarthria, spastic [patient.info] A 28-year-old, previously healthy, normotensive woman suddenly developed an acute pseudobulbar palsy with dysarthria, dysphagia, hypernasal voice and mild right arm paresis [ncbi.nlm.nih.gov] Disorders of articulation [ 2 ] This is also called dysarthria or anarthria. [patient.info] Cerebellar Hemorrhage The first patient was treated conservatively and had mild residual dysarthria and gait ataxia 2 months after surgery. [ncbi.nlm.nih.gov] Neurological examination after surgery revealed slight dysarthria after drainage of cerebrospinal fluid (CSF) but no other neurological deficits. [ncbi.nlm.nih.gov] This became more severe, and developed progressive dysarthria and vomiting as well. [ncbi.nlm.nih.gov] Intracerebral Hematoma His family history disclosed that his brother had a similar episode of dysarthria. [thejournalofheadacheandpain.springeropen.com] Dysarthria & dysphagia may occur. There are no Babinski signs until late in the evolution of the hemorrhage as it expands to the brainstem. [enotes.tripod.com] He had fluent speech with a mild dysarthria and left facial droop. His sensation was intact and motor strength were intact except for persistent right sided weakness. [thoracic.org] Subarachnoid Hemorrhage Case Description: A 53-year-old male patient suddenly developed severe headache associated with dysarthria and an altered state of consciousness. [surgicalneurologyint.com] CASE REPORT A 53-year-old male patient, without relevant personal or family history, was admitted to the emergency room after he suddenly developed severe headache with dysarthria [surgicalneurologyint.com] Posterior Inferior Cerebellar Artery Occlusion He was discharged after a month, with moderate right hemiparesis and mild dysarthria. [surgicalneurologyint.com] @__@ Lateral medullary syndrome: Dysphagia, dysarthria, dysphonia Why? Nucleus ambiguus involved. [medicowesome.com] Eight years after BA occlusion, he was admitted to our hospital with sudden onset of right hemiparesis and dysarthria. [surgicalneurologyint.com] Amyotrophic Lateral Sclerosis […] progression are available for ALS, but patient management is largely mediated by symptomatic therapies, such as the use of muscle relaxants for spasticity and speech therapy for dysarthria [ncbi.nlm.nih.gov] An 82-year-old woman developed neck weakness and dysarthria with antibodies against acetylcholine receptor (AChR) and low-density lipoprotein receptor-related protein 4 (LRP4 [ncbi.nlm.nih.gov] We examined a 66-year-old Japanese woman manifesting gait disturbance and spastic dysarthria for 6years with positive family history. [ncbi.nlm.nih.gov] Hypoxia Although the terms hypoxia and hypoxemia are often used interchangeably, they are not synonymous. Hypoxemia is defined as a condition where arterial oxygen tension (Pao 2 ) is below normal (normal Pao 2 80–100mmHg). Hypoxia is defined as the failure of oxygenation at the tissue level. It is not measured directly[…] [doi.org] Hallervorden-Spatz Syndrome He developed dysarthria, difficulty with his gait and dystonia in his arms at the age of 28 years. [ncbi.nlm.nih.gov] Dysarthria, dysphagia, and dystonic-athetoid movements of the face and right fingers were marked. Magnetic resonance showed the typical "eye-of-the-tiger" sign. [ncbi.nlm.nih.gov] Abstract Hallervorden-Spatz syndrome (HSS) is a degenerative neurologic disorder associated with progressive rigidity, dystonia, impaired voluntary movement, dysarthria, and [ncbi.nlm.nih.gov] Conversion Disorder The symptoms include mild dysarthria to coma or sudden death. The initial subtle clinical presentation could lead to misdiagnosis. [ncbi.nlm.nih.gov] Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception [ncbi.nlm.nih.gov] There may be close resemblance to almost any variety of ataxia, apraxia, akinesia, aphonia, dysarthria, dyskinesia, or paralysis ." [3]:126 Dissociative Movement Disorder [traumadissociation.com] Progressive Supranuclear Palsy KEYWORDS: Acoustic analysis; Atypical Parkinsonian syndromes; Dysarthria; Parkinson’s disease; Perceptual assessment; Speech disorders; Voice onset time [ncbi.nlm.nih.gov] Examination shortly before death revealed hypomimia, dysarthria, vertical supranuclear gaze palsy and impaired postural reflexes. [ncbi.nlm.nih.gov] Introduction In this report we are describing a progressive brain disease featured by supranuclear ophthalmoplegia affecting chiefly vertical gaze, pseudobulbar palsy, dysarthria [doi.org] Binswanger Disease […] small cerebral arteries Ataxia Autosomal recessive inheritance Babinski sign Dementia Diffuse demyelination of the cerebral white matter Diffuse white matter abnormalities Dysarthria [familydiagnosis.com] In addition, affected individuals may have difficulty with speech (dysarthria), swallowing (dysphagia), and urinary bladder control (incontinence). [rarediseases.org] In contrast, facial and upper extremity function is fairly well preserved. 21 Pseudobulbar palsy may be present (dysarthria, dysphagia, labile laughing or crying). [aafp.org] Recurrent Small-Cell Carcinoma of the Lung Med Oncol. 2018 Apr 2;35(5):61. doi: 10.1007/s12032-018-1123-6. Author information 1 Division of Respirology, Neurology, and Rheumatology, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. 2 Division of Respirology, Neurology, and Rheumatology, Department[…] [ncbi.nlm.nih.gov]
