Isolated dysarthria due to hypoglossal palsy caused by supratentorial ischemic stroke: Radiological and electropsyological analysis

Kayalı, Nuriye; Temel, Musa

doi:10.1016/j.clineuro.2021.106545

Cited by 1 publication

(1 citation statement)

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“…10 The differential diagnosis of this clinical presentation is also extensive, and previously published cases of isolated/paroxysmal dysarthria of different etiologies are listed in Table 1. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] During the follow-up consultation in this case, neuroimaging was performed; however, the findings could not explain the patient's condition. A detailed history was taken again, which revealed worsening episodes of slurred speech, which was easily induced after talking for a longer period of time.…”

Section: Discussionmentioning

confidence: 99%

Isolated dysarthria as the sole manifestation of myasthenia gravis: a case report

Jiang

et al. 2022

J Int Med Res

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Myasthenia gravis (MG) is an acquired autoimmune disease. Its clinical manifestations comprise ptosis, diplopia, dysarthria, dysphagia, limb weakness, and in severe cases, respiratory muscle involvement. Dysarthria as an exclusive initial and primary complaint in MG is rare and seldom reported. In this paper, we report a case of type IIIb MG with isolated dysarthria as the only clinical manifestation and we review the relevant literature. The patient was a 62-year-old man who presented with episodes of slurred speech for 20 days that had worsened in the previous 9 days. His medical history comprised hypertension, diabetes mellitus, and coronary heart disease. The initial diagnosis on admission was transient ischemic attack. Careful re-examination of the patient’s history revealed that his symptoms mainly involved increasingly worse slurred speech episodes without drinking or swallowing difficulties, and no significant improvement with rest was observed. Electromyography and autoantibody profiling led to a diagnosis of type IIIb MG. His symptoms improved after the oral administration of pyridostigmine bromide 60 mg. Laryngeal MG is important to differentiate from stroke. It is necessary to perform a computerized voice analysis when encountering patients with atypical symptoms of MG.

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Section: Discussionmentioning

confidence: 99%

Isolated dysarthria as the sole manifestation of myasthenia gravis: a case report

Jiang

et al. 2022

J Int Med Res

View full text Add to dashboard Cite

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Isolated dysarthria due to hypoglossal palsy caused by supratentorial ischemic stroke: Radiological and electropsyological analysis

Cited by 1 publication

References 10 publications

Isolated dysarthria as the sole manifestation of myasthenia gravis: a case report

Isolated dysarthria as the sole manifestation of myasthenia gravis: a case report

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