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What Causes Slurred Speech And Tongue Paralysis In An Elderly Person?

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Posted on Fri, 30 Jun 2017
Question: my mother aged 67, she has slurred speech and unable to move tongue for swallowing, the problem persist approx one year, we had consult to GE, ENT and also some neurologist, CT, Endoscopy, Laringeoscopy all done with NAD, blood CBC, LFT KFT all Normal, no diabetes, BP normal,
problem is she unable to eat, unable to speak,
pls suggest what may be probable reason and to whom should i consult and where
doctor
Answered by Dr. Sanjay Kini (3 hours later)
Brief Answer:
Can be stroke (CVA) or transient ischemic attacks (TIA)

Detailed Answer:
Hello Dear. Can you send me all the reports what is being done till now? Need to see and evaluate.

Probably your mother is having stroke (Cerebro-vascular accident) or repeated transient ischemic attacks (TIA). These are the most common causes of slurred speech and difficulty in swallowing.

There are other causes like- barbiturate abuse, Insulin reaction (hypoglycemia), Medication reaction or side-effect, Tonsillitis, Intracranial hematoma, Brain aneurysm, Brain tumour etc, which looks unlikely in case of your mother because you say that CT scan, neurologist evaluation everything was done and it came out to be normal. But still if possible i wish to see the reports.

Sometimes a small lenticular stroke and also TIA goes unnoticed. So there is a possibility that it could not be detected and the symptoms are persisting.

I suggest you to meet another neurologist and take a second opinion. If required, CT scan may be repeated or the doctor may ask for a MRI scan because minute details are better visualized in MRI scan.

If you are a resident of XXXXXXX you can consult a good neurologist in XXXXXXX

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini     




Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sanjay Kini

General & Family Physician

Practicing since :2009

Answered : 1354 Questions

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What Causes Slurred Speech And Tongue Paralysis In An Elderly Person?

Brief Answer: Can be stroke (CVA) or transient ischemic attacks (TIA) Detailed Answer: Hello Dear. Can you send me all the reports what is being done till now? Need to see and evaluate. Probably your mother is having stroke (Cerebro-vascular accident) or repeated transient ischemic attacks (TIA). These are the most common causes of slurred speech and difficulty in swallowing. There are other causes like- barbiturate abuse, Insulin reaction (hypoglycemia), Medication reaction or side-effect, Tonsillitis, Intracranial hematoma, Brain aneurysm, Brain tumour etc, which looks unlikely in case of your mother because you say that CT scan, neurologist evaluation everything was done and it came out to be normal. But still if possible i wish to see the reports. Sometimes a small lenticular stroke and also TIA goes unnoticed. So there is a possibility that it could not be detected and the symptoms are persisting. I suggest you to meet another neurologist and take a second opinion. If required, CT scan may be repeated or the doctor may ask for a MRI scan because minute details are better visualized in MRI scan. If you are a resident of XXXXXXX you can consult a good neurologist in XXXXXXX Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini