Published online Dec 22, 2013. doi: 10.5498/wjp.v3.i4.103
Revised: October 2, 2013
Accepted: November 15, 2013
Published online: December 22, 2013
Core tip: The foreign accent syndrome (FAS) is a rare speech disorder, characterised by the appearance of a new accent, different from the speaker’s native language and perceived as foreign by others. In the majority of patients, FAS is secondary to focal brain damage, but infrequently, it has been reported in association with psychiatric disorders, including dissociative or conversion disorders. The case of a young woman with FAS is described here, which shows that in rare instances dissociative disorder may be implicated in the genesis of the FAS. The aetiology of FAS is complex, and both biological and psychosocial factors could play a role in its onset.