Nasal Speech: Causes & Reasons

Possible Causes for Nasal Speech

speech labile emotions normal emotions bilateral UMN signs in limbs + = increased; - = reduced; n = normal Links: pseudobulbar palsy progressive bulbar palsy [gpnotebook.co.uk]

Skip to content Bulbar Palsy Relevant physical signs Bulbar palsy (LMN) Nasal speech which lacks modulation Speaks in short phrases Slurred words, especially of the consonants [learnhaem.com]

His psychiatric examination was significant for monotone, nasal speech. [neuro.psychiatryonline.org]

Cleft Lip

Speech therapy can help enormously in correcting nasal-sounding speech in the case of a cleft palate. [raisingchildren.net.au]

During speech air escapes through the cleft into the nasal cavity, resulting in a characteristic nasal tone. [britannica.com]

Speech Therapy: Many children with a cleft lip or palate need speech therapy to develop appropriate sounds and to prevent a nasal quality to speech. [rainbowkids.com]

DiGeorge Syndrome

Special testing is also available for children with 22q11 DS who have nasal speech. [web.archive.org]

speech owing to palatal insufficiency. [jmg.bmj.com]

This may lead to different health problems such as: A heart defect A cleft palate and/or nasal speech Trouble saying words Language and learning disabilities Feeding problems [web.archive.org]

Velocardiofacial Syndrome

Speech and feeding problems Severe oral motor planning Hyper nasal speech Disorganized or dysfunctional feeding patterns 6. [speechsolutionshawaii.com]

A nasal speech tone is observed in the vast majority of individuals with VCFS as well as difficulties with articulation whose origin is assumed to be the cleft palate and [cibsr.stanford.edu]

MAIN OUTCOME MEASURES: Pharyngeal function was assessed using perceptual speech investigation, nasal endoscopy, and acoustic nasometry. [ncbi.nlm.nih.gov]

Cleft Palate

Abstract In patients with a repaired cleft palate, nasality is typically diagnosed by speech language pathologists. [ncbi.nlm.nih.gov]

The craniofacial center provides comprehensive care for children and treats conditions such as: Cleft lip and palate Nasal speech caused by Velopharyngeal insufficiency Genetic [boystownhospital.org]

During speech air escapes through the cleft into the nasal cavity, resulting in a characteristic nasal tone. [britannica.com]

Freeman-Sheldon Syndrome

In Case 1, deep-set eyes, epicanthus, blepharophimosis, right lid ptosis, strabismus, anti mongoloid slant, small mouth, mask-like face, high-arched palate, nasal speech, [ncbi.nlm.nih.gov]

A small tongue is present and this limits movements of the soft palate causing nasal speech. Often there is a Y or an H fashioned skin dimpling over the chin. [syndrome.org]

The tongue may be small, and the limited movement of the soft palate may cause nasal speech. Often there is an H- or Y-shaped dimpling of the skin over the chin. [medhelp.org]

Triple A Syndrome

Nasal speech is another additional common feature which was present in these two brothers. [jfcmonline.com]

At the age of 3-4 years, he had started having progressive nasal speech, anorexia, and lack of weight gain, at which point he was diagnosed with achalasia. [cags.org.ae]

Dysphagia, weakness, reduced tear production, and nasal speech were present. [ncbi.nlm.nih.gov]

Progressive Bulbar Paralysis

Jaw jerk – absent or normal Speech – nasal “indistinct (flaccid dysarthria), lacks modulation and has a nasal twang” Emotions – normal Other – signs of the underlying cause [lifeinthefastlane.com]

Typical symptoms of bulbar palsy include slowed or paralyzed eye movements, facial weakness, slurred speech (dysarthria or nasal), gait disturbance and dizziness. [dizziness-and-balance.com]

The muscles innervated by cranial nerves and corticobulbar tracts are predominantly affected, causing progressive difficulty with chewing, swallowing, and talking; nasal voice [merckmanuals.com]

Bulbar Palsy

[…] weakness) dysarthria (difficulty in articulating words due to a CNS problem) Signs[edit] nasal speech lacking in modulation and difficulty with all consonants tongue is atrophic [en.wikipedia.org]

Signs of Bulbar Palsy Absent jaw jerk Absent palate rise Absent pharyngeal reflex Tongue wasting and fasciculations Flaccid dysarthria - nasal speech with impaired articulation [medschool.co]

Signs & Symptoms Symptoms dysphagia (difficulty in swallowing) difficulty in chewing nasal regurgitation slurring of speech difficulty in handling secretions choking on liquids [m.blog.naver.com]

Myasthenia Gravis

Dysarthria: Speech difficulties manifesting as dysarthria and nasality are commonly seen in MG. [intechopen.com]

The symptoms that appear in your face and throat muscles include a change in speech (becomes softer or more nasal) or slurred speech. [houstonmethodist.org]

Symptoms of this neuromuscular disorder include: Drooping eyelids Double vision Slurred speech Nasal quality to voice Inability to speak Drooling Problems chewing and/or swallowing [henryford.com]

Jugular Foramen Syndrome

Vagus nerve lesion (X) Etiology Clinical features Loss of the gag reflex (efferent limb) Flaccid paralysis of the soft palate → nasal speech and deviation of the uvula away [amboss.com]

Mesomelia-Synostoses Syndrome

speech, down-slanting of palpebral fissures with hypertelorism and ptosis. [accessanesthesiology.mhmedical.com]

speech, downslanting of palpebral fissures with hypertelorism and ptosis. [accessanesthesiology.mhmedical.com]

Nasal speech is common. [rarediseases.info.nih.gov]

Late Congenital Syphilis

speech. [jmedicalcasereports.biomedcentral.com]

New Delhi, India, with complaints of a hole in the hard palate which had been slowly enlarging, since its appearance 2–3 months back along with difficulty in eating and nasal [jmedicalcasereports.biomedcentral.com]

Bulbar Poliomyelitis

Bulbar poliomyelitis is a serious form of the disease resulting from paralysis of the muscles innervated by the cranial nerves, leading to dysphagia, nasal speech, pooling [ecdc.europa.eu]

In addition to acute flaccid paralysis, bulbar poliomyelitis presents with dysphagia, dysphonia, nasal voice along with nasal regurgitation, as well as respiratory failure [symptoma.com]

Dysphagia, nasal regurgitation, and nasal voice are usually the earliest signs of bulbar involvement, but some patients have pharyngeal paralysis and cannot control oral secretions [merckmanuals.com]

X-Linked Syndromic Mental Retardation Type Snyder-Robinson

[…] dysarthic speech, narrow or cleft palate, osteoporosis, kyphoscoliosis, long great toes, short stature, pectus carinatum, and myopia that has_material_basis_in mutation in [informatics.jax.org]

[…] syndrome is an X-linked intellectual disability syndrome with characteristic features including facial asymmetry, marfanoid habitus, unsteady gait, thickened lower lip, nasal [malacards.org]

[…] intellectual disability characterized by mild to profound intellectual disability, facial asymmetry, marfanoid habitus, asthenic habitus, unsteady gait, thickened lower lip, nasal [informatics.jax.org]

Vagus Nerve Injury

Speech will be moderately or severely hypernasal, and pressure consonants (fricatives, affricates and stops) may be weak and distorted because of nasal emission of air through [neurohonors.wordpress.com]

The clinician may also ask the patient to say “ka, ka, ka” to check for any nasal emission. [neurohonors.wordpress.com]

Importance in Speech-Language Pathology This nerve is one of the most important cranial nerves for speech production. [neurohonors.wordpress.com]

22q11.2 Duplication Syndrome

speech Nasal voice 0001611 Neurological speech impairment Speech disorder Speech impairment Speech impediment [ more ] 0002167 5%-29% of people have these symptoms Abnormality [rarediseases.info.nih.gov]

However, her cleft palate made it difficult to pronounce certain words and caused her to have hyper nasal speech, another key feature of this syndrome. [globalgenes.org]

This often results in nasal-sounding speech and nasal regurgitation, in which fluid comes through the nose during feeding. [sickkids.ca]

Syringobulbia

On examination his speech had nasal twang with depressed pharyngeal movement. However the palatal movement was normal. [ispub.com]

The intensity of pain did not increase with either mastication or speech. Fig 1 Clinical image of the patient, showing the zones referred to as painful. [quintpub.com]

[…] episodes of pain lasting for half an hour each and extending from the premolar zone to the entire left side of the face; these were associated with tearing of the left eye and nasal [quintpub.com]

Myotonic Dystrophy

speech, no distal weakness except isolated digitis flexor weakness); Grade 3 - distal weakness (no proximal weakness, except isolated triceps brachii weakness); Grade 4 - [scielo.br]

[…] by EMG, slit-lamp examination or DNA analysis); Grade 2 - minimal signs (myotonia, jaw and temporal wasting, facial weakness, sternomastoids wasting / weakness, ptosis, nasal [scielo.br]

Dermatomyositis

Other signs of pharyngo-esophageal involvement include nasal speech, hoarseness, nasal regurgitation, and aspiration pneumonia. [e-ijd.org]

Furthermore, weakness of palatal/cricopharyngeal muscles may result in nasal voice, swallowing difficulties, and tracheal aspiration. [ijpd.in]

Aromatic L-Amino Acid Decarboxylase Deficiency

[…] pressure and body temperature regulation, heart rate fluctuations) Excessive sweating Dysphoria and emotional lability Sleep disturbance (excessive or disrupted) Absence of speech [pndassoc.org]

Speech is dysarthric and difficult. [medlink.com]

Clinical features associated with ANS dysfunction include ptosis, miosis, profuse drooling, postural hypotension, excessive sweating, temperature instability, nasal congestion [bmcneurol.biomedcentral.com]

Tapia's Syndrome

Six weeks after the onset of headache, she developed slurring of speech, hoarseness, nasal twang of voice and difficulty in swallowing with nasal regurgitation. [ijccm.org]

On examination, the lady was pale, and her speech was dysarthric. The first seven cranial nerves were normal. Fundi were bilaterally normal. [ijccm.org]

Treacher-Collins Syndrome

or missing ears (microtia or anotia) Facial paralysis Breathing and eating problems TMD (temporomandibular joint disorder) Hearing impairment or loss Vision impairment Speech [houstoncraniofacial.com]

[…] lower eyelids or missing a portion of the eyelid (eyelid colobomas) Facial clefts (particularly of the cheek, orbital rim, and upper and lower jaw) Cleft palate Narrowing of nasal [houstoncraniofacial.com]

Cocaine Abuse

Nasal congestion. [luxury.rehabs.com]

[…] recent use can include: Feeling of exhilaration and excess confidence Increased alertness Increased energy and restlessness Behavior changes or aggression Rapid or rambling speech [mayoclinic.org]

Talkativeness, fast speech, or scattered speech—skipping from topic to topic. Dramatic mood changes: elated, irritable, depressed, argumentative, aggressive. [luxury.rehabs.com]

Renpenning Syndrome

speech ; Pectus excavatum ; Pes cavus ; Phimosis ; Poor suck ; Protruding ear ; Renal hypoplasia ; Scoliosis ; Seizures ; Short philtrum ; Short stature ; Situs inversus [mousephenotype.org]

speech Ear malformation Cupped ear Hearing impairment Macrotia Protruding ear Growth abnormality Short stature IMPORTANT NOTE: NIH does not independently verify information [ncbi.nlm.nih.gov]

speech Nasal voice 0001611 Pes cavus High-arched foot 0001761 Phimosis 0001741 Poor suck Poor sucking 0002033 Protruding ear Prominent ear Prominent ears [ more ] 0000411 [rarediseases.info.nih.gov]

Alacrima - Achalasia - Mental Retardation

Delay Intellectual Developmental Disorder with Nasal Speech, Dysmorphic Facies, and Variable Skeletal Anomalies INTELLECTUAL DEVELOPMENTAL DISORDER WITH NEUROPSYCHIATRIC [rgd.mcw.edu]

BEHAVIORAL ABNORMALITIES INTELLECTUAL DEVELOPMENTAL DISORDER WITH IMPAIRED LANGUAGE AND DYSMORPHIC FACIES Intellectual Developmental Disorder with Macrocephaly, Seizures, and Speech [rgd.mcw.edu]

Cerebro-Costo-Mandibular Syndrome

speech Nasal voice 0001611 Patent ductus arteriosus 0001643 Polyhydramnios High levels of amniotic fluid 0001561 Posteriorly rotated ears Ears rotated toward back of head [rarediseases.info.nih.gov]

0000218 Horseshoe kidney Horseshoe kidneys 0000085 Long philtrum 0000343 Low-set ears Low set ears Lowset ears [ more ] 0000369 Malar flattening Zygomatic flattening 0000272 Nasal [rarediseases.info.nih.gov]

Oculo-Pharyngo-Distal Myopathy

He had dysarthria with nasal speech. [jnnp.bmj.com]

Dysphagia and a hoarse or nasal voice occurred in all patients after a disease duration of up to 2 years. [journals.plos.org]

Palatal, pharyngeal, and tongue involvement produce a dysarthric speech, nasal voice, and swallowing problems. [clinicalgate.com]

Nasopharyngeal Disease

CLINICAL FEATURES Age: 50-70 years (in India) 35-64 years (in Chinese) Sex: M : F:: 2-3 : 1 Symptoms Nasal: obstruction, discharge, denasal speech, epistaxis Otological: [slideshare.net]

[…] regurgitation of food and liquids Impaired “hypernasal” speech Headaches In advanced cases, infiltration of NPC into the spine can cause: Stiff neck Pain Neck instability [upmc.com]

[…] symptoms of NPC include: A lump in the neck caused by a swollen lymph node A sensation of fullness or pressure in the ear Popping noises, hearing loss, and ear infection Nasal [upmc.com]

Cold-Induced Sweating Syndrome Type 1

Clinical description Additional abnormalities may include kyphoscoliosis, a high-arched palate, a nasal voice, depressed nasal bridge, and impaired peripheral sensitivity [orpha.net]

Additional abnormalities include a high-arched palate, nasal voice, depressed nasal bridge, inability to fully extend the elbows and kyphoscoliosis. [uniprot.org]

Both had additional abnormalities, in clud in g a high-arched palate, nasal voice, depressed nasal bridge, in ability to fully extend the ir elbows, and kyphoscoliosis. [yumpu.com]