title: [Hypophonia in lacunar stroke].
abstract: BACKGROUND
  Hypophonia has been defined as a reduction in speech volume. It is an uncommon finding in acute stroke, mainly related to multiple deep infarcts.
  
  
  METHODS
  An 82 year old hypertensive woman was admitted to our hospital presenting acute right sided weakness and low speech volume. She was hypophonic and unable to yell. Language was fluent without paraphasic errors. A diffusion weighted magnetic resonance showed a small hyperintense lesion in the left corona radiata. No other lesions were detected.
  
  
  CONCLUSIONS
  Although, the precise anatomic area involved in the brain has not been clearly precised yet, hypophonia may be also due to isolated lacunar affecting the penetrating arteries in the corona radiata. Further studies are necessary to better understand the nature and the prognosis of this phenomenon.
authors.affiliation: Neurología; Hospital J. M. Ramos Mejía, Buenos Aires, 1425, Argentina. gsaposnik@yahoo.com
authors.forename: G
authors.initials: G
authors.lastname: Saposnik
authors.forename: J
authors.initials: J
authors.lastname: Mauriño
authors.forename: R C
authors.initials: RC
authors.lastname: Rey
authors.forename: R E
authors.initials: RE
authors.lastname: Sica
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020521:Stroke / Q000150:complications* / Q000473:pathology; D014832:Voice Disorders / Q000209:etiology* / Q000473:pathology
vernacular_title: Hipofonía en ictus lacunar.