Scanned speech and factors that cause it. Scanned speech of a child

Chapter XXXIII. Once again the chapel and the village of mourners. Speech by I. crying. My farewell visit to the Chapel of Joy. Farewell evening feast in the Community of Radanda. I.'s last speech on it. Our Departure for the Community of Ali In my mind I accompanied the whole caravan on a long journey through the desert. How many times already

When a doctor tells one of his patients (or his parents) that a visitor is swearing, most often he has to explain what he means. The term is incomprehensible even to a literate person who fully understands what chanting is. Meanwhile, the voiced symptom is very serious and, if detected, requires a detailed and multidirectional examination.

What is slurred speech

Physicians have identified a huge number of speech disorders. But ordinary members of society offhand remember only stuttering and burr. But scanned speech is one of the three most common. Recognizing her is no more difficult than a lisp. A chanting person speaks extremely slowly, almost reciting. Words are literally pronounced syllable by syllable, just like children read from an ABC book. Monotony is also characteristic of such speech, although the opposite situation is also possible, when the patient actually emphasizes each syllable intonation or pronounced stress.

Why do people chant

Scanned speech most often occurs in people with pathological lesions of the cerebellum or other parts of the brain closely related to it. It is also considered a symptom very characteristic of multiple sclerosis. And the more it progresses, the stronger this defect manifests itself.

Scanned speech often occurs after strokes. Almost always - if the hemorrhage is localized in the cerebellar hemispheres or directly in the brain stem. Hemorrhage of traumatic origin as a result of traumatic brain injury often also entails the appearance of chanting.

Such a speech disorder can be a consequence of intoxication with lead and mercury compounds.

Treatment is always preceded by identifying the reasons why the chanted speech appeared. And therapy is aimed at eliminating them, and it is coordinated with a number of highly specialized specialists: an ENT specialist, an otoneurologist, a neurophysiologist, a neuro-oculist, etc.

baby chant

The situation is somewhat different with children. The scanned speech of the child can also be caused by the pathological course of pregnancy (fetal hypoxia, toxicosis, especially early ones, Rhesus conflict). Possible factors of its occurrence are recognized as birth trauma and asphyxia during childbirth, prematurity and a strong degree of the so-called jaundice of newborns. Many of the risk factors can be reversed by identifying

The term “scanning”, although not often used, is nevertheless well known in Russian, and, probably, there are not many people who would not know its meaning. It usually means a distinct, loud and measured pronunciation of individual words, phrases or texts: poems, slogans, requirements, etc.

However, few people know that in neurology there are conditions in which a person’s speech becomes chanted against his will.

So, the cerebellar is characterized by chanted speech and arises as a result of discoordination of speech processes. This type of dysarthria is not associated with paresis, but with a violation of the coordination of the muscles of the speech-motor apparatus, as a result of which a tongue appears and speech becomes difficult, “jerky”.

There is a clear division of words into syllables with a pause between them - while the modulation of the voice and the chanted intonation do not correspond to the meaning of the spoken speech. Another characteristic feature: the rhythmic placement of stresses at regular intervals (sometimes stresses can be placed on each syllable).

Reasons why we chant

The appearance of this disorder is usually associated with damage to the cerebellum or associated connective nerve fibers located in the brain stem.

The most frequently chanted speech, as a symptom, occurs when, being one of the three (along with and) the most characteristic signs of this disease (the so-called Charcot's triad).

Among other diseases in which this speech disorder can be noted: various forms, tumors and other volumetric formations of the cerebellar hemispheres, rarely cerebellar strokes. It should be noted that some diseases with the development of this syndrome can also occur in children.

Symptoms associated with scrambled speech

In the neurological symptoms of diseases, scrambled speech is not an isolated symptom and is combined with a number of others. pathological manifestations. Two of them - intentional tremor and nystagmus - together with chanting form the famous Charcot triad, have already been mentioned above.

The next in frequency - the disappearance of abdominal reflexes and temporal blanching of the optic discs - together with the three mentioned are included in the so-called Marburg pentad.

Frequent accompanying symptoms also include pelvic disorders, increased muscle tone, (more often in the lower extremities).

In addition, scanning can be combined with all kinds of visual disorders, pathologies of other cranial nerves (except for the visual one), and sensory disorders.

Less often accompanied by symptoms such as autonomic disorders, mental disorders, various pain syndromes, sleep abnormalities.

As can be seen from the above, scrambled speech in itself is not a sufficient symptom for a neurological diagnosis.

It should also be noted that the suspicion of the presence of this symptom does not serve as a basis to unequivocally judge the presence of any pathology in the patient at all. The peculiarities of articulation and diction of some people can create the illusion of a scanned recitative.

After all, the nature of the pronunciation of sounds and words is determined not only by regulation by the nervous system, but also by the state of the speech motor organs themselves, as well as the emotional state of a person, etc. Therefore, only a comprehensive examination, taking into account neurological and other symptoms, can serve as a sufficient basis for one or another medical conclusion in each specific case.