Abstract | INTRODUCTION: Spasmophemia, also called stuttering or stammering, is a speech disorder characterized by impairment of the rhythm of words whose classical symptoms are blocks and repetitions. METHODOLOGY: We describe the case of a male patient, his evolution and therapeutic strategies and review the current literature on the subject. RESULTS: A 33-year-old patient was referred to our Mental Health Unit by his family doctor due to “speech problems and difficulty expressing ideas. His symptoms had worsened in recent weeks, with increase in his state of anxiety.” Standing out in the consultation to the doctor, the patient experienced multiple blocks in expressing words, using circumlocutions and monosyllabic repetitions that made it very difficult to conduct the interview. Anticipatory anxiety and occasional obsessions of repeated checking also stand out. After six weeks of treatment with olanzapine 5 mg/daily, the patient showed significant improvement both in the fluency and anticipatory anxiety with decreased repetitions, blocking, interjections and broken words. DISCUSSION: CONCLUSION: Treatment with olanzapine, 5HT-2 and D1/ D2 antagonist, significantly improved the clinical picture as Boyd et al. have described in their systematic review.
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Authors | Alfonso Mozos-Ansorena, Manuela Pérez-García, Begoña Portela-Traba, Angel Tabernero-Lado, Jorge Pérez-Pérez |
Journal | Actas espanolas de psiquiatria
(Actas Esp Psiquiatr)
2012 Jul-Aug
Vol. 40
Issue 4
Pg. 231-3
ISSN: 1578-2735 [Electronic] Spain |
PMID | 22851483
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Antipsychotic Agents
- Benzodiazepines
- Olanzapine
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Topics |
- Adult
- Antipsychotic Agents
(therapeutic use)
- Benzodiazepines
(therapeutic use)
- Humans
- Male
- Olanzapine
- Stuttering
(drug therapy)
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