Slurred speach resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Usman Ali Akbar, M.B.B.S.[2]

Synonyms and Keywords:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

The causes of slurred speech and dysarthria are vast and can be classified as follows.

Types of Dysarthria
Flaccid Dysarthria Spastic Dyasarthria Mixed Dysarthria (Flaccid/Spastic) Ataxic Dysarthria Hypokinetic Dysarthria Hyperkinetic Dysarthria
Site of Lesion LMN neurons involved in speech (CN V,

V , II, IX, X, X ) I XII  

LMN neurons involved in speech (CN V,

V , II, IX, X, X ) I XII  

Upper and Lower motor neuron Cerebellar   Extrapyramidal tract, specifically the ba

ganglia; may be unilateral or bilateral  

Extrapyramidal tract, specifically the ba

ganglia; may be unilateral or bilateral  

Causes Viral infection, Tumor, CVA, Congenital conditions, disease, palsies and trauma. CVA, Tumor, Infection, Trauma, Congenital Conditions ALS, Trauma, CVA CVA, Tumor, Trauma, Congenital Condition, Infection, Toxic effects Parkinsonism, Drug-induced Chorea, Infection, Gilles de la Tourette Syndrome, Ballism, Athetosis, CVA, Tumor, Dystonia, Drug induced, Dyskinesia.
Speech Characteristics Hypernasality, imprecise consonants, breathiness, mono-pitch, nasal emission. Imprecise consonants, mono-pitch, reduced stress, harsh vocal quality, mono loudness, low pitch, slow rate, hypernasality, strained-strangled voice, short phrases. Imprecise consonants, hypernasality, harsh vocal quality, slow rate, mono-pitch, short phrases, distorted vowels, low pitch, mono loudness, excess and equal stress, prolonged intervals. Imprecise consonants, excess and equal stress, irregular articulatory breakdowns, distorted vowels, harsh voice, loudness control problems, variable nasality. Monopitch, reduced stress, mono loudness, imprecise consonants, inappropriate silences, short rushes of speech, harsh voice, breathy voice. Imprecise consonants, distorted vowels, harsh voice quality, irregular articulatory breakdowns, strained-strangled voice, mono-pitch, mono loudness.

The causes of slurred speech and dysarthria are vast and can be classified as follows.

Diagnosis

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Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

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