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BMJ Case Reports 2018; doi:10.1136/bcr-2017-223259
  • Rare disease
  • CASE REPORT

Recovery of brain abscess-induced stuttering after neurosurgical intervention

  1. Eiju Watanabe2
  1. 1Department of General Internal Medicine, Ooshima Prefecture Hospital, Amami, Japan
  2. 2Department of Neurosurgery, Jichi Medical University, Shimotsuke, Japan
  1. Correspondence to Dr Daisuke Sudo, m05049ds{at}jichi.ac.jp
  • Accepted 27 April 2018
  • Published 12 May 2018

Summary

Stuttering occurs in approximately 5% of all children and 1% of adults. One type, neurogenic stuttering, is usually attributable to strokes or other structural damages to the brain areas that are responsible for language fluency. Here, we present the first case of neurogenic stuttering caused by a brain abscess. The patient was a 60-year-old man admitted for a seizure and administered an anticonvulsant, after which he began stuttering. MRI revealed a brain abscess in the left frontal lobe that extended to the dorsolateral prefrontal cortex (BA (Brodmann’s area) 9 and 46), frontal eye field (BA 8) and premotor cortex and supplementary motor area (BA 6). After neurosurgical drainage and antibiotic treatment, the symptoms had resolved. This case is unique in that the therapeutic effects and localisation of the cause of stuttering were rapidly identified, allowing for a more accurate description of the neural circuitry related to stuttering.

Footnotes

  • Contributors DS: conception of study, data collection and analysis and drafting of the manuscript. YD: clinically important advise. HY: revising the manuscript. EW: approval of final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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