POSITRON emission tomography using 6-FDOPA as a marker of presynaptic
dopaminergic activity was used to investigate the role of the dopamine
system in stuttering. Three patients with moderate to severe developm
ental stuttering were compared with six normal controls. Stuttering su
bjects showed significantly higher 6-FDOPA uptake than normal controls
in medial prefrontal cortex, deep orbital cortex, insular cortex, ext
ended amygdala, auditory cortex and caudate tail. Elevated 6-FDOPA upt
ake in ventral limbic cortical and subcortical regions is compatible w
ith the hypothesis that stuttering is associated with an overactive pr
esynaptic dopamine system in brain regions that modulate verbalization
.