Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Could Be The Reason For Slurred Speech And Difficulty In Walking In A Patient With History Of Epilepsy And Unremarkable Brain MRI?
My wife was found on floor in bedroom.She had collapsed. She was hospitalized for 4 days with unsteady gait, difficulty walking and slurred speech. She tested positive for influenza. Both walking and slurred speech have improved in rehab but she still has both conditions and is still in rehab facility. No outward stroke symptoms. Unremarkable brain MRI. Her history includes bipolar, epilepsy which has been controlled, heart bypass, recent hospitalization for UTI and another recent hospitalization for C-diff. She is 64. She has some demetia probably from long history of epilepsy. What is the cause of slurred speech and difficulty walking?
Mon, 20 Jan 2014
Hi,
Thank you for posting your query.
Unremarkable MRI excludes a diagnosis of stroke, however, based on her symptoms, the most likely cause of her slurred speech and difficulty walking would be a brain stroke.
In view of history of epilepsy, and use of anti-epileptic medications, an overdose of medications should also be looked into.
Metabolic derangements such as low sodium, etc could also lead to similar symptoms.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Thank you for posting your query.
Unremarkable MRI excludes a diagnosis of stroke, however, based on her symptoms, the most likely cause of her slurred speech and difficulty walking would be a brain stroke.
In view of history of epilepsy, and use of anti-epileptic medications, an overdose of medications should also be looked into.
Metabolic derangements such as low sodium, etc could also lead to similar symptoms.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Stroke
Loading Online Doctors....