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Distinguishing and Improving Dysarthria due to Facial Weakness

Distinguishing and Improving Dysarthria due to Facial Weakness Abstract To the Editor. —An impairment of speech production can accompany a lesion of the seventh cranial nerve, producing paresis of facial muscles. The patients may become aware of their difficulties in speech production, particularly during telephone conversations when they may have to repeat themselves several times to be understood. The dysarthria is also apparent to the examining physician, raising the possibility that a brain-stem lesion is the cause of the speech disorder with the facial paresis being a separate manifestation of the central pathology. Several years ago, one of my patients with Bell's palsy and speech impairment showed me a method for transiently alleviating the dysarthria that has stood the test of time as a means for assuring myself that the patient's speech production problems were due to weakness of the perioral facial muscles and not to a disorder of central processes governing speech production. The patientTo show maneuver References 1. The letter is reprinted because "Roman numeral VII" was erroneously changed to "eighth" in the text.—Ed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Distinguishing and Improving Dysarthria due to Facial Weakness

Archives of Neurology , Volume 46 (2) – Feb 1, 1989

Distinguishing and Improving Dysarthria due to Facial Weakness

Abstract

Abstract To the Editor. —An impairment of speech production can accompany a lesion of the seventh cranial nerve, producing paresis of facial muscles. The patients may become aware of their difficulties in speech production, particularly during telephone conversations when they may have to repeat themselves several times to be understood. The dysarthria is also apparent to the examining physician, raising the possibility that a brain-stem lesion is the cause of the speech disorder with...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520380025006
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —An impairment of speech production can accompany a lesion of the seventh cranial nerve, producing paresis of facial muscles. The patients may become aware of their difficulties in speech production, particularly during telephone conversations when they may have to repeat themselves several times to be understood. The dysarthria is also apparent to the examining physician, raising the possibility that a brain-stem lesion is the cause of the speech disorder with the facial paresis being a separate manifestation of the central pathology. Several years ago, one of my patients with Bell's palsy and speech impairment showed me a method for transiently alleviating the dysarthria that has stood the test of time as a means for assuring myself that the patient's speech production problems were due to weakness of the perioral facial muscles and not to a disorder of central processes governing speech production. The patientTo show maneuver References 1. The letter is reprinted because "Roman numeral VII" was erroneously changed to "eighth" in the text.—Ed.

Journal

Archives of NeurologyAmerican Medical Association

Published: Feb 1, 1989

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