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Yıl:1998; Cilt: 9; Sayı: 1>> Özet
Türk Psikiyatri Dergisi; 1998;9(1):64-67
Erişkin Çağda Başlayan Bir Kekemelik Olgusu
L TAMAM, S ÖZTANRIÖVER, N ÖZPOYRAZ
Kekemelik genellikle çocukluk çağına özgü bir bozukluk olarak bilinir. Ancak son yıllarda artan sayıda, erişkin çağda başlayan kekemelik (edinilmiş kekemelik) ile ilgili çalışmalar yapılmaktadır. Bu çalışmaların hemen tümü, birkaç sistematik araştırma hariç, tek olguluk sunumlardan oluşmaktadır. Nörolojik etmenler ve ilaçlar erişkin çağda başlayan kekemeliğin en önemli nedenlerindendir. Bunun yanısıra, belirgin bir nöropatolojisi olmayan ve ilaç kullanım öyküsü bulunmayan bazı olgularda da edinilmiş kekemeliğin görüldüğü bildirilmiştir. Nedeni saptanamayan bu grupta gözlenen en önemli etmenler migren, depresyon, yüksek anksiyete düzeyleri ve çeşitli psikolojik zorlanmalardır. Bu olgu sunumunda erişkin çağda başlayan kekemeliğin nedeni ve sağaltımı vurgulanarak aktarılmış ve tartışılmıştır.

A case of Adult Onset Stuttering
Stuttering is generally known as a disorder that begins in childhood. But there has been growing number of reports of adult-onset stuttering (acquired stuttering) in recent [year]s. Many of these are single case reports with few systematic research. Neurological factors and drugs are determined to be most significant factors in the development on adult-onset stuttering. However, there are also reports of individuals with adult-onset stuttering in the absence of any detectable neuropathology or drug use. Significant factors in this undetermined group appear to be migraine, high anxiety levels, depression and other psychological difficulties. In this article a case of acquired stuttering is presented and discussed, emphasizing the etiology, treatment and possible implications on clinical practice.


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