Tiffany Roberts suffered a stroke four years 
                  ago  | 
An 
            American woman has been left with a British accent after having a 
            stroke. 
            This is despite the fact that Tiffany Roberts, 61, has never been 
            to Britain. Her accent is a mixture of English cockney and West 
            Country. 
            
Doctors say Mrs Roberts, who was born and bred in Indiana, has a 
            condition called foreign accent syndrome. 
            
This rare condition occurs when part of the brain becomes 
            damaged. This can follow a stroke or head injury. There have only 
            been a few documented cases. 
            
British accent 
            
Mrs Roberts discovered she had a British accent after recovering 
            her voice following a stroke in 1999. 
            
"When people first started asking me where in England I was from 
            and a family member asked why am I talking that way, that is when I 
            became very conscious that a part of me had died during the stroke," 
            she said. 
            
            
              
              
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                  A part of me had died during the stroke   
                  
                  
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Four 
            years on, she still struggles to convince people that she is a born 
            and bred American. 
            "People in America accuse me of lying when I say I was born in 
            Indiana. 
            
"They would say 'What are you saying that for? Where in England 
            are you from?' 
            
"I would insist that I am not." 
            
A tape recording of her voice before the stroke shows Mrs Roberts 
            used to speak with a broad and relatively deep accent. She now 
            speaks in a much higher pitch. 
            
Doctors are still trying to find out exactly why foreign accent 
            syndrome occurs. 
            
But Dr Jack Ryalls of the University of Central Florida, said it 
            is a real medical condition, which can occur after a patient has a 
            brain injury. 
            
"They recover to various degrees. When they don't recover or when 
            they only have very, very residual effects left its heard as an 
            accent. Its a real phenomenon. It just hasn't been documented very 
            often." 
            
Scientists at Oxford University are among those trying to get to 
            the bottom of the syndrome. 
            
Last year, they confirmed that patients can develop a foreign 
            accent without ever having been exposed to the accent. 
            
This is because they haven't really picked up the accent. Their 
            speech patterns have changed. Injury to their brain causes them to 
            lengthen syllables, alter their pitch or mispronounce sounds. These 
            changes make it sound like they have picked up an accent. They may 
            lengthen syllables. 
            
The first case of foreign accent syndrome was reported in 1941 in 
            Norway, after a young Norwegian woman suffered shrapnel injury to 
            the brain during an air raid. 
            
Initially, she had severe language problems from which she 
            eventually recovered. However, she was left with what sounded like a 
            strong German accent and was ostracized by her community.