Disturbance of pronunciation or rhythm of speech is the last of Charcot's three signs, called dysarthria. It is rare and usually found in the more advanced disease. The pronunciation problem begins with the slurring of certain consonants, causing the person to sound as if he or she has had too much to drink.
A problem with speech rhythm causes the individual to speak in a jerky, somewhat explosive fashion. This has been called "scanning speech," because it resembles the school exercise in which a line of poetry is scanned, or accented at the proper syllables. Slurred speech can be due to a variety of disorders, including alcohol and drug abuse.
Scanning speech is more suggestive of multiple sclerosis (MS); it rarely occurs in other diseases.
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