Dergi Ara >>
Yıl:2012; Cilt: 13; Sayı: 1>> Özet
Anadolu Psikiyatri Dergisi; 2012;13(1):82-84
Testosteron alımı sonrası başlayan kekemelik: Bir olgu sunumu
Ş Kartalcı, LG Erbay, ÖÖ Özcan, T Yüksel, S Ünal
İnönü Üniversitesi Tıp Fakültesi Psikiyatri ABD, Malatya
Kekemelik konuşmanın normal akıcılık ve zamanlamasındaki bir bozulma olarak tanımlanır. Gelişimsel ve edinim-sel olmak üzere iki tip kekemelik vardır. Etiyolojisi tam olarak bilinmese de, cinsiyet farkının kekemelik gelişimi üzerinde belirgin bir etkiye sahip olduğu bilinmektedir. Erkeklerde kekemelik sıklığı kadınlardan daha fazladır. Kekemelik çocukluk çağında yaygın olmasına rağmen, özellikle kadınlarda olmak üzere genellikle yetişkinlikten önce düzelmektedir. Yüksek androjenlerin salınımıyla ilişkili olduğu bilinen stresli yaşam olayları gibi çevresel etkenler de kekemeliğin süreğenleşmesine katkıda bulunabilir. Bütün bunlar birlikte düşünüldüğünde, kekemeliğin altında yatan nedenlerden biri de cinsiyet hormonları olabilir. Edinimsel kekemelik her yaşta ve farmakolojik ajanları da içeren birçok etkenle ortaya çıkabilir. Testosteron çeşitli yan etkilere sahip androjenik bir ilaç olmasına rağmen, literatür taramasında komplikasyonları arasında kekemeliğe rastlamadık. Bu yazıda, testosteron kullanı-mının kekemeliğin olası bir nedeni olarak gördüğümüz bir olguyu sunuyoruz.
Stuttering after testosterone administration: a case report
Stuttering is defined as a disturbance in the normal fluency and time patterning of speech. There are two kinds of stuttering: developmental and acquired. However, the etiology of stuttering is controversial; it is well known that the sex of the patient clearly influences stuttering. There is a higher incidence of stuttering in males than in females. Furthermore, although stuttering is common in children, it often resolves before adulthood in especially females. Environmental influences, such as stressful social situations which are associated with elevated androgen secretion, may also contribute to the persistence of stuttering. Considering all this together, one of the reasons underlying this gender difference in stuttering may be sex hormones. Acquired stuttering can occur at all ages and can be caused by pharmacological agents. Testosterone is an androgenic drug that has diverse side-effects, but an extensive review of the literature has failed to show stuttering as one of the complications. We present a case in which testosterone was implicated as a potential cause of stuttering. (

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