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Suggest Treatment For Difficulty In Walking And Slurred Speech

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Posted on Fri, 30 Dec 2016
Question: On Friday my husband began having difficulty walking, slurred speech, confusion, jerky motions with his hands, difficulty feeding himself. He has fallen several times. He has epilepsy and a tremor condition. He had missed several doses of medication last week when he had a colonoscopy/endoscopy. I took him to his primary and she thought he had low blood pressure but it seems to be more than that. Is there a possibility that these symptoms mean he has had a stroke?
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Answered by Dr. Dariush Saghafi (1 hour later)
Brief Answer:
Average to LOWER than average chance of stroke.

Detailed Answer:
Good morning and thank you for your question. Your husband's symptoms are NOT TYPICAL for stroke of the brain but should be evaluated in person by someone. Jerky motions of the hands could be due to any number of metabolic problems and especially if he hasn't taken his antiepileptic medication at every dosing interval. Therefore, he should be evaluated for COMPLIANCE to his medications and perhaps, the follow-up with his neurologist should be more consistent.

Falls can also suggest metabolic problems....AND in this particular case, stroke in the posterior fossa (cerebellum) at least as likely as not may be manifesting itself by way of the falls and slurred speech as well, this could be from either a small cerebellar or brainstem stroke.

I would also make sure his sugars in his bloodstream have not gone out of control as that can cause many of the same symptoms including confusion, balance problems, and slurred speech.

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your question and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2472 Questions

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Suggest Treatment For Difficulty In Walking And Slurred Speech

Brief Answer: Average to LOWER than average chance of stroke. Detailed Answer: Good morning and thank you for your question. Your husband's symptoms are NOT TYPICAL for stroke of the brain but should be evaluated in person by someone. Jerky motions of the hands could be due to any number of metabolic problems and especially if he hasn't taken his antiepileptic medication at every dosing interval. Therefore, he should be evaluated for COMPLIANCE to his medications and perhaps, the follow-up with his neurologist should be more consistent. Falls can also suggest metabolic problems....AND in this particular case, stroke in the posterior fossa (cerebellum) at least as likely as not may be manifesting itself by way of the falls and slurred speech as well, this could be from either a small cerebellar or brainstem stroke. I would also make sure his sugars in his bloodstream have not gone out of control as that can cause many of the same symptoms including confusion, balance problems, and slurred speech. If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your question and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.