Hi,
It is a difficult situation and requires proper therapeutic plan. It is great that you are looking for different medical opinions to help you form an informed decision. In your question, you have submitted many sub-questions. I will focus on one of those questions for this preliminary query. Specifically, I will provide an answer what do you need to do to insure that doctors are looking in correct place. There are two major acute issues here:
1.
Stroke 2. Epilepsy
For the stroke:
1.
MRI scan
2. EKG: long duration EKG for like 72 hours and trans-esophageal
echocardiography to rule out any heart arrhythmia
3. keep her on
aspirin, if heart arrhythmia is confirmed, treat those too
For epilepsy:
1. Revise medication plan: reduce
seizure medications and reintroduce them carefully to determine most suitable with least side effects.
2. MRI with specific sequences to detect scar tissues that could be provoking seizures. If such a brain region is found neurosurgical intervention could help.
For the speech issue, in my opinion
rehabilitation should start also parallel and as soon as possible regardless of the underlying reason. In such a case, a multi disciplinary team of
neurologist, neurophysiologist, cardiologist, neurosurgical team, speech therapists is needed.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Ahmad Nazzal, General & Family Physician