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Commentary| Volume 364, ISSUE 4, P508-509, October 2022

The NRMP residency match for the differently abled

      Stuttering received a great deal of public attention during the run-up to the 2020 US presidential election and thereafter. A recent Viewpoint in JAMA Neurology
      • Briley PM
      • Ellis C
      • Jacobs MM.
      The impact of stuttering—hiding in plain sight.
      even discussed the impact this neurological condition may have had on President Biden's perceived “gaffes” during debates and speeches. The etiopathogenesis of stuttering, referred to in scientific terms as Persistent Developmental Stuttering (PDS), is still under investigation, but we have learned much over the past many years. From structural alterations in the grey matter of the motor speech cortex,
      • Watkins KE
      • Smith SM
      • Davis S
      • Howell P
      Structural and functional abnormalities of the motor system in developmental stuttering.
      to aberrant myelination of white matter in the arcuate fasciculus,
      • Cieslak M
      • Ingham RJ
      • Ingham JC
      • Grafton ST.
      Anomalous white matter morphology in adults who stutter.
      to a neural networks model that shows abnormal activation characteristics of basal ganglia-thalamocortical circuits during speech,
      • Chang SE
      • Guenther FH.
      Involvement of the cortico-basal ganglia-thalamocortical loop in developmental stuttering.
      to a recent genetic study that shows variants of the GNPTAB, GNPTG and NAGPA genes involved in lysosomal trafficking during early neural development
      • Frigerio-Domingues CE
      • Gkalitsiou Z
      • Zezinka A
      • et al.
      Genetic factors and therapy outcomes in persistent developmental stuttering.
      – the scientific knowledge on stuttering continues to expand.
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      References

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        • Ellis C
        • Jacobs MM.
        The impact of stuttering—hiding in plain sight.
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        Structural and functional abnormalities of the motor system in developmental stuttering.
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        Anomalous white matter morphology in adults who stutter.
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        Involvement of the cortico-basal ganglia-thalamocortical loop in developmental stuttering.
        Front Psychol. 2020; 10: 3088
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        • et al.
        Genetic factors and therapy outcomes in persistent developmental stuttering.
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