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Dysdiadochokinesia is also seen in Friedreich's ataxia and multiple sclerosis, as a cerebellar symptom (including ataxia, intention tremor and dysarthria). It is also a feature of ataxic dysarthria. Dysdiadochokinesia often presents in motor speech disorders , therefore testing for dysdiadochokinesia can be used for a differential diagnosis.
Speaking is an act dependent on thought and timed execution of airflow and oral motor / oral placement of the lips, tongue, and jaw that can be disrupted by weakness in oral musculature or an inability to execute the motor movements needed for specific speech sound production (apraxia of speech or developmental verbal dyspraxia).
Dysarthria is a speech sound disorder resulting from neurological injury of the motor component of the motor–speech system [1] and is characterized by poor articulation of phonemes. [2] It is a condition in which problems effectively occur with the muscles that help produce speech, often making it very difficult to pronounce words.
Flaccid dysarthria is a motor speech disorder resulting from damage to peripheral nervous system (cranial or spinal nerves) or lower motor neuron system. Depending on which nerves are damaged, flaccid dysarthria affects respiration, phonation, resonance, and articulation. It also causes weakness, hypotonia (low-muscle tone), and diminished ...
Flaccid dysarthria is characterized by little control over pitch and voice volume, reduced speech rate, and impaired voice quality Hypokinetic dysarthria is characterized by harsh voice quality, monotone, reduced volume and breathiness
Developmental verbal dyspraxia (DVD), also known as childhood apraxia of speech (CAS) and developmental apraxia of speech (DAS), [1] is a condition in which an individual has problems saying sounds, syllables and words. This is not because of muscle weakness or paralysis.
In contrast, pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but in which the damage is located in upper motor neurons of the corticobulbar tracts in the mid-pons (i.e., in the cranial nerves IX-XII), that is the nerve cells coming down from the cerebral cortex innervating the motor nuclei in the medulla.
Pseudobulbar palsy is the result of damage of motor fibers traveling from the cerebral cortex to the lower brain stem. This damage might arise in the course of a variety of neurological conditions that involve demyelination and bilateral corticobulbar lesions.