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Foreign accent syndrome caused by a left temporal–parietal ischaemic stroke

Published online by Cambridge University Press:  24 June 2014

Panagiotis Karanasios ,
Paraskevi Loukopoulou ,
Petros Zampakis ,
Thomas Tiligadas ,
Alexandra Makridou ,
Vassilios Doukas  and
Andreas A. Argyriou
Panagiotis Karanasios
Affiliation:
Department of Neurology, “Saint Andrew's” General Hospital of Patras, Patras, Greece
Paraskevi Loukopoulou
Affiliation:
Department of Medicine, “Saint Andrew's” General Hospital of Patras, Patras, Greece
Petros Zampakis
Affiliation:
Department of Radiology, University Hospital of Patras, Rion-Patras, Greece
Thomas Tiligadas
Affiliation:
Department of Medicine, “Saint Andrew's” General Hospital of Patras, Patras, Greece
Alexandra Makridou
Affiliation:
Department of Neurology, “Saint Andrew's” General Hospital of Patras, Patras, Greece
Vassilios Doukas
Affiliation:
Department of Medicine, “Saint Andrew's” General Hospital of Patras, Patras, Greece
Andreas A. Argyriou*
Affiliation:
Department of Neurology, “Saint Andrew's” General Hospital of Patras, Patras, Greece
*
Andreas A. Argyriou, MD, PhD Department of Neurology, “Saint Andrew's” General Hospital of Patras, Patras 26335, Greece. Tel/Fax: +302610641865; E-mail: andargyriou@yahoo.gr
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Abstract

Karanasios P, Loukopoulou P, Zampakis P, Tiligadas T, Makridou A, Doukas V, Argyriou AA. Foreign accent syndrome caused by a left temporal–parietal ischaemic stroke.

Aim: We present the first reported case of a Greek patient with foreign accent syndrome (FAS) secondary to a left temporal-parietal ischemic stroke.

Case report: A 76 year-old right-handed, Greek in origin, male was referred because he had suddenly manifested changes in speech expression. The neurological examination revealed that his prior typical English-Australian accent resembled a mixture of Greek and English-Britain accent consistent with FAS, though he had visited only once Greece the last 15 years and never had been to United Kingdom.

Results: A brain Magnetic Resonance Imaging scan depicted an ischemic temporal lesion in the language-dominant left hemisphere, affecting the left posterior superior and middle temporal gyri, as well as the ipsilateral inferior supramarginal angular gyrus and posterior insula.

Conclusion: We might suggest that FAS in our patient was induced because of interrupted cortical-subcortical feedback pathways. The phenomenon of subcortical-cortical diaschisis might also have contributed to its clinical manifestation.

Keywords

foreign accent syndromeischemic strokemotor aphasiaspeech deficits
Type
Case Reports
Information
Acta Neuropsychiatrica , Volume 23 , Issue 5 , October 2011 , pp. 249 - 251
Copyright
Copyright © Cambridge University Press 2011

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