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]

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]

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]

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]

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]

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]

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]

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]

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, Hypermetropia, Hypertonia, Hyperreflexia, Short stature, Hearing impairment, Cognitive impairment, Hypospadias, Hypoplasia of the zygomatic bone, High palate, Wide [fdna.health]

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]

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]

Relapsing Polychondritis

Definition (MSH) An acquired disease of unknown etiology, chronic course, and tendency to recur. It is characterized by inflammation and degeneration of cartilage and can result in deformities such as floppy ear and saddle nose. Loss of cartilage in the respiratory tract can lead to respiratory obstruction.[…] [fpnotebook.com]