Abstract

We report the case of a 74-year-old patient, whose spontaneous speech was characterized by the compulsive repetition of parts of words, words and sentences with increasing rate and decreasing loudness. On a standardized language examination, his performance was within normal limits, besides the presence of palilalia; neurological examination showed a slight limitation of vertical gaze and a reduction of blinking. A small right capsulo-thalamic ischemic lesion was present on magnetic resonance imaging. This case provides further evidence that palilalia can be observed as an isolated impairment of speech production following subcortical lesions.

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