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From: Luc De Nil
Date: 10 Oct 2007
Time: 21:18:48 -0500
Remote Name: 24.197.196.252
Migraines and neurogenic stuttering have been linked before, but usually it is the migraine that makes the stuttering worse, I'm not sure that it causes stuttering. Not all patients with neurogenic stuttering show a clear neurological lesion or disease. Sometimes that leads to the diagnosis of psychogenic stuttering, but that may not always be accurate. Indeed, some neurological events may be transient in nature and not leave any sequelae that are visible on routine neurological examinations. In that case, the diagnosis of neurogenic stuttering can be tricky and you really have to use your best judgment, coupled with feedback from other professionals, such as neurologists, psychiatrists, neuropsychologists, etc. Often, in these cases the diagnosis of neurogenic stuttering is somewhat tentative reflecting conclusions reached on the best clinical evidence available. From a clinical perspective, when the patient has received successful treatment for his or her stuttering, the question whether the initial diagnosis as neurogenic or psychogenic was accurate is somewhat of a moot point. Of course, when treatment is not successful, it may be necessary to do further testing to try to come to a more accurate diagnosis.