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Title: Diagnostic Distortions: A Case Report of Progressive Apraxia of Speech.
Austin Authors: Brodtmann, Amy ;Pemberton, Hugh;Darby, David G;Vogel, Adam P
Affiliation: Eastern Cognitive Disorders Clinic, Department of Medicine, Monash University, Box Hill, Melbourne, Australia
The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Department of Medicine, University of Melbourne, Parkville, Melbourne, Australia
Issue Date: 2016
Publication information: Journal of Alzheimer's disease : JAD 2016; 53(1): 79-83
Abstract: Apraxia of speech (AOS) can be the presenting symptom of neurodegenerative disease. The position of primary progressive AOS in the nosology of the dementias is still controversial. Despite seeing many specialists, patients are often misdiagnosed, in part due to a lack of quantitative measures of speech dysfunction. We present a single case report of a patient presenting with AOS, including acoustic analysis, language assessment, and brain imaging. A 52-year-old woman presenting with AOS had remained undiagnosed for 6 years despite seeing 8 specialists. Results of her MRI scans, genetic testing, and computerized speech analysis are provided. AOS is an underdiagnosed clinical syndrome causing great distress to patients and families. Using acoustic analysis of speech may lead to improved diagnostic accuracy. AOS is a complex entity with an expanding phenotype, and quantitative clinical measures will be critical for detection and to assess progression.
DOI: 10.3233/JAD-160069
Journal: Journal of Alzheimer's disease : JAD
PubMed URL: 27104903
Type: Journal Article
Subjects: Apraxia of speech
corticobasal syndrome
frontotemporal dementia
voice acoustic analysis
Appears in Collections:Journal articles

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