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NEUROLOGY 1993;43:1361
© 1993 American Academy of Neurology

A case of foreign accent syndrome without aphasia caused by a lesion of the left precentral gyrus

Y. Takayama, MD, M. Sugishita, DrHS, DrMS, T. Kido, MD, M. Ogawa, MD and I. Akiguchi, MD

Department of Rehabilitation (Dr. Takayama), Tokyo Metropolitan Institute for Neuroscience, the Research Institute of Logopedics and Phoniatries (Dr. Sugishita), Faculty of Medicine, Tokyo University, Tokyo; and the Department of Neurology (Drs. Kido, Ogawa, and Akiguchi), Faculty of Medicine, Kyoto University, Kyoto, Japan.

We report a case of foreign accent syndrome (FAS) without aphasia. The patient was a right-handed, 44-year-old woman, a native Japanese. Disposition and inversion of pitch accents and appearance of unnecessary stress accents made her speech sound foreign, like that of a Korean. MRI demonstrated an infarction in the middle fifth of the posterior lateral aspect of the left precentral gyrus. Limited motor cortex damage causes FAS without dysarthria, apraxia of speech, or aphasia.

Address correspondence and reprint requests to Dr. Yoshihiro Takayama, Department of Rehabilitation, Tokyo Metropolitan Institute for Neuroscience, 2-6 Musashidai, Fuehu-shi, Tokyo 183, Japan.

Received August 24, 1992. Accepted for publication in final form November 13, 1992.




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