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In addition, she had visual loss, headache, edema along the scalp and pharyngeal arteries, polymyalgia rheumatica, elevation of Westergren erythrocyte sedimentation rates, and positive arterial biopsy results. Her speech disorder recurred during an exacerbation. A vascular mechanism is proposed to explain her unusual speech, acute recurrence, and rapid recovery. This explanation (reversible ischemia of the laryngeal musculature) has been proposed by other authors in previous studies.<\/jats:p>","DOI":"10.1177\/000348948909801105","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:35:41Z","timestamp":1412346941000},"page":"859-862","source":"Crossref","is-referenced-by-count":5,"title":["Speech Pathology in Giant Cell Arteritis"],"prefix":"10.1177","volume":"98","author":[{"given":"Dewey A.","family":"Nelson","sequence":"first","affiliation":[{"name":"Newark, Delaware"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1989,11,1]]},"reference":[{"key":"bibr1-000348948909801105","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-71-5-961"},{"key":"bibr2-000348948909801105","first-page":"323","volume":"1","author":"Hutchinson J","year":"1890","journal-title":"Arch Surg (Lond)"},{"key":"bibr3-000348948909801105","first-page":"700","volume":"7","author":"Horton BT","year":"1932","journal-title":"Mayo Clin Proc"},{"key":"bibr4-000348948909801105","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-197101000-00001"},{"key":"bibr5-000348948909801105","unstructured":"Kelly WN, Harris EDJr., Ruddy S, Sledge CB. 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