Assessment and treatment of acquired neurogenic stuttering: A case report

Neurogenic stuttering is an acquired subtype of stuttering following brain damage such as cerebrovascular accident (CVA). This case involved a 51-year-old Malayalam-speaking male with a left parieto-temporal infarct causing speech disfluencies, right-sided weakness, and mild dysarthria. Assessment showed reduced verbal output, articulatory errors, intact comprehension, and mild stuttering (SSI-4 score 23). The individualized intervention included fluency shaping, prosodic training, counseling, and family involvement, delivered in three phases: establishment, transfer, and maintenance. Therapy improved disfluencies, intelligibility, and communication attitude, though setbacks occurred after a seizure. This highlights the effectiveness of evidence-based speech-language therapy for neurogenic stuttering post-CVA and the need for further comprehensive research to enhance clinical outcomes.