Table of Contents

ABSTRACT

Acquired neurogenic stuttering (ANS) is a stuttering with a neurological origin, such as stroke, traumatic brain injuries, or drug use. It is characterised by speech disfluencies such as repetition, prolongations, and blocks. Currently, the literature is limited, accounting for the heterogeneity of this fluency disorder. This case study aims to highlight the re-emergence of developmental stuttering after a cerebrovascular accident leading to acquired neurogenic stuttering with comorbidities. A 64-year-old male was admitted with a complaint of speech and swallowing deficits, and he exhibited the characteristics of stuttering followed by a cerebrovascular accident. Speech, swallowing, and stuttering assessments were conducted to confirm the severity of the respective deficits, followed by subsequent management. The clinical testing results revealed a significant deficit in speech, swallowing, and fluency domains, with deficits being moderate in severity. The management involved articulatory drills and pacing for speech and fluency deficits, respectively. Swallowing management steadily moved across the food consistently via the oral feed trials. Significant improvements in the speech intelligibility and swallowing domains were noted. From the present case study, it can be inferred that ANS presents heterogeneity. Numerous factors, including the medical condition, must be accounted for when assessing and treating individuals with ANS following a stroke.

Keywords: Stuttering, acquired neurogenic stuttering, case study, assessment, management