Foreign Accent Syndrome, a Rare Presentation ofSchizophrenia in a 34-Year-Old African American Female:A Case Report and Literature Review

Foreign Accent Syndrome (FAS) is a rare phenomenon where speech is characterized by a new accent to the patient’s native language.More than 100 cases with the syndrome have been published, the majority of which were associated with observed insults of thespeech center. Some other cases have been described without identifiable organic brain injury, especially in patients with psychiatricillness. This paper presents a patient with schizophrenia and FAS, without any evidence of organic brain injury. FAS recurred duringpsychotic exacerbation and did not reverse before transfer to a long-term psychiatric facility. The case is discussed in the context ofa brief review of the syndrome.