Document Type

Article

Language

eng

Format of Original

3 p.

Publication Date

10-1989

Publisher

BMJ Publishing Group

Source Publication

Journal of Neurology, Neurosurgery and Psychiatry

Source ISSN

0022-3050

Original Item ID

PubMed Central: PMCID PMC1031704; doi: 10.1136/jnnp.52.10.1182

Abstract

Despite many investigations, the cerebral mechanism for stuttering remains unknown. Recently, increased attention has been paid to acquired stuttering of adult onset in the hope that the events associated with it might provide clues to the biological mechanism underlying stuttering. This attention has focused exclusively on the cortical substrates. We present our observations of acquired dysfluency, presumably of subcortical origin in a neurosurgical subject with intractable pain. The stuttering was relieved by thalamic electric stimulation. The effect of thalamic stimulation on the stuttering suggests that the pathophysiology of transient asynchronisation in the balancing and sequencing of multiple impulses is amenable to a diffusely orchestrated functional tuning of the thalamic and brainstem implicated subcortical structures and pathways.

Comments

Accepted version. Journal of Neurology, Neurosurgery and Psychiatry, Vol. 52, No. 10 (October 1989): 1182-1184. DOI. © BMJ Publishing Group 1989. Used with permission.

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