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Sudden Onset Of Slurred Speech, Tongue Swelling, Continuous Biting Inside Cheek. All Test Normal. Cause?

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Posted on Fri, 18 Oct 2013
Question: sudden onset of slurred speech, swelling of the tongue, continuous biting inside cheek/lip. Have had every manner of test, but no answers. It's been 3 months this has been going on.
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Answered by Dr. Sudhir Kumar (28 minutes later)
Brief Answer:
Could be possibly orofacial dystonia

Detailed Answer:
Hi,

Thank you for posting your query.

Your symptoms are suggestive of a movement disorder, most likely org facial lingual dystonia or dyskinesia. In this condition, involuntary movements affect speech muscles, tongue, lips and cheek muscles. These are present when awake and disappear during sleep. They interfere with speaking, swallowing and chewing functions.
Treatment can be done with medications such as trihexiphenydyl or tetrabenazine tablets or Botox injections. Please consult a neurologist specialising in movement disorders.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Sudden Onset Of Slurred Speech, Tongue Swelling, Continuous Biting Inside Cheek. All Test Normal. Cause?

Brief Answer:
Could be possibly orofacial dystonia

Detailed Answer:
Hi,

Thank you for posting your query.

Your symptoms are suggestive of a movement disorder, most likely org facial lingual dystonia or dyskinesia. In this condition, involuntary movements affect speech muscles, tongue, lips and cheek muscles. These are present when awake and disappear during sleep. They interfere with speaking, swallowing and chewing functions.
Treatment can be done with medications such as trihexiphenydyl or tetrabenazine tablets or Botox injections. Please consult a neurologist specialising in movement disorders.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist