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Scanning speech is a type of ataxic dysarthria in which spoken words are broken up into separate syllables, often separated by a noticeable pause, and spoken with varying force. [1] The sentence "Walking is good exercise", for example, might be pronounced as "Walk (pause) ing is good ex (pause) er (pause) cise".
Charcot's neurologic triad is the combination of nystagmus, intention tremor, and scanning or staccato speech. This triad is associated with multiple sclerosis, where it was first described; [1] however, it is not considered pathognomonic for it. It is named after Jean-Martin Charcot. [2]
Common clinical features of ataxic dysarthria include abnormalities in speech modulation, rate of speech, explosive or scanning speech, slurred speech, irregular stress patterns, and vocalic and consonantal misarticulations. [13] [14] Ataxic dysarthria is associated with damage to the left cerebellar hemisphere in right-handed patients. [15]
Scanning speech is an ataxic dysarthria in which syllable durations are equalized. It is characteristic of the dysarthria of multiple sclerosis. Together with nystagmus and intention tremor it forms Charcot's triad 1.
A cerebellar exam may include saying phrases with many consonants to detect scanning speech, detecting horizontal gaze nystagmus by following a finger with the eyes, performing rapid alternating movements like rotating a hand from palm to back repeatedly, testing the Holmes rebound phenomenon, and testing patellar reflex for hypotonia or ...
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Partner-assisted scanning or listener-assisted scanning is an augmentative and alternative communication technique used to enable a person with severe speech impairments to communicate. The approach is used with individuals who, due to sickness or disability, have severe motor impairments and good memory and attention skills. [ 1 ]