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Revista chilena de neuro-psiquiatría

On-line version ISSN 0717-9227

Abstract

DONOSO S, Archibaldo; GONZALEZ V, Rafael  and  VENEGAS F, Pablo. Progressive anarthria or speech apraxia. Rev. chil. neuro-psiquiatr. [online]. 2008, vol.46, n.2, pp.124-128. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272008000200006.

Two cases of progressive anarthria are reported; we remarck their close but distinct relation with speech apraxia. Both of them were older female, with a progressive loss of speech, bilateral paresis of lower face, tongue and palatal muscles. They also had mild pyramidal signs and a fronto-subcortical cognitive deterioration. Brain TC and MRI were within normal limits. One of them had a possible progressive supranuclear palsy, the other one a possible corticobasal degeneration. The analysis of similar cases reports let us to conclude than there are several pathologies that can cause a progressive pseudobulbar palsy. The final diagnosis must be by postmortem examination of the brain.

Keywords : Disarthria; apraxia; frontotemporal dementia.

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