This paper takes several perspectives on Foreign Accent Syndrome. One considers normal accent variation and cues to the perception of a ‘foreign’ accent. The second is the neural control of speech production as determined from functional imaging studies. Third, these issues are related to a particular case of Foreign Accent Syndrome to outline potential neuroanatomical, segmental and supra-segmental contributions to this Syndrome. We suggest that foreign accent syndrome is associated with a disconnection of the planning of articulation from motor control, which may account for the heterogeneity of speech errors seen.