Ver el código de «Dysarthria»

==Background==
*Motor speech disorder characterized by poor articulation of language sounds or pronounciation<ref> Duffy, J. Defining, Understanding, and Categorizing Motor Speech Disorders. In: Duffy, J. ''Motor Speech Disorders: Substrates, Differential Diagnosis, and Management.'' 3rd ed. . St. Louis, Mo: Elsevier Mosby; 2012 ISBN 0323024521.</ref>
*Cranial nerves involved include trigeminal nerve's motor branch (V), facial nerve (VII), glossopharyngeal nerve (IX), vagus nerve (X), and hypoglossal nerve (XII).

==Clinical Features==
*Includes abnormality to any of the following: breath control, '''duration of syllables''', pitch, range, speed, steadiness, '''timing''', tone, '''vocal quality''', pitch, volume<ref>MacKenzie, C (2011). "Dysarthria in stroke: A narrative review of its description and the outcome of intervention". International Journal of Speech-Language Pathology 13 (2): 125–36. doi:10.3109/17549507.2011.524940. PMID 21480809</ref>

==Differential Diagnosis==
===Stroke Types===
*[[Ischemic Stroke]]
**[[Cerebellar Stroke]]
**[[Transient Ischemic Attack (TIA)]]
*[[Hemorrhagic Stroke]]
**[[Intracerebral Hemorrhage]]
**[[Subarachnoid Hemorrhage (SAH)]]

===[[Weakness]]===
'''Neuromuscular weakness'''
*UMN:
***[[CVA (Main)]]
***[[Hemorrhagic stroke]]
***[[Multiple sclerosis]]
***[[Amyotrophic Lateral Sclerosis (ALS)]] (UMN & LMN)
**Spinal cord disease:
***Infection ([[Epidural Abscess (Spinal)]]) 
***Infarction/ischemia
***Trauma ([[Spinal Cord Syndromes]]) 
***Inflammation ([[Transverse Myelitis]])
***Tumor
**Peripheral nerve disease:
***Lyme disease
***[[Guillain-Barre syndrome]]
***Toxins ([[Ciguatera]])
***[[Tick paralysis]]
***[[Diabetes mellitus]] neuropathy (non-emergent)
**NMJ disease:
***[[Myasthenia gravis]] crisis
***[[Botulism]]
***[[Organophosphate toxicity]]
***[[Lambert-Eaton myasthenic syndrome]]
**Muscle disease:
***[[Rhabdomyolysis]]
***[[Dermatomyositis]]
***[[Polymyositis]]
***Alcoholic myopathy
*'''Non-neuromuscular weakness'''
**Can't miss diagnoses:
***[[Sepsis (Main)]]
***[[Hypoglycemia]]
***Periodic paralysis (electrolyte disturbance, K, Mg, Ca)
****[[Hypokalemic periodic paralysis]]
****[[Thyrotoxic periodic paralysis]]
***Respiratory failure
**Other
***[[Cerebral palsy]]
***[[Hypothermia]]
***[[Parkinson's disease]]

==Evaluation==
*Clinical diagnosis
*Consider [[CVA]] or other neurologic workup

==Management==
*Treat underlying cause
*Speech pathology

==Disposition==
*Depends on underlying cause

==See Also==

==References==
<references/>

[[Category:Neurology]]
[[Category:ENT]]
[[Category:Symptoms]]