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Dysarthria without other symptoms or signs requires that myasthenia gravis be ruled out with a Tensilon test and psychometrics be done to rule out hysteria. In the presence of other neurologic signs, speech disorders require a thorough neurologic workup with an EEG, skull x-ray, and CT scan or MRI of the brain; a spinal tap or arteriogram may be indicated. The clinician should remember that dysarthria may be only the first sign of a serious neurologic disease such as multiple sclerosis, Wilson disease, lupus erythematosus, or chronic alcoholism; therefore, close follow-up is important.
Source: Differential Diagnosis in Primary Care, 2007
Dysarthria without other symptoms or signs requires that myasthenia gravis be ruled out with a Tensilon test and psychometrics be done to rule out hysteria. In the presence of other neurologic signs, speech disorders require a thorough neurologic workup with an EEG, skull x-ray, and CT scan or MRI of the brain; a spinal tap or arteriogram may be indicated. The clinician should remember that dysarthria may be only the first sign of a serious neurologic disease such as multiple sclerosis, Wilson disease, lupus erythematosus, or chronic alcoholism; therefore, close follow-up is important.
Source: Differential Diagnosis in Primary Care, 2007
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