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What Causes Difficulty In Completing A Thought Or Sentence?

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Posted on Wed, 3 May 2017
Question: Hi Doctor. I am 83 years old and in good health. My problem is for the last 9 or 10 months I have a problem
completing a sentence. The words do come out right. I am sure that by now it is noticeable to whom ever
I am talking. I wonder what that is a symptom of. My children haven't said anything but it is getting worse.
I might add that my husband had a massive stroke in September. His therapy is now over and he can not
express himself. the words just will not come out and he gives up. His right side is not usable and he is in
a Board & Care. After 58 years together this is so hard on both of us. Would that be a part of my problem?
doctor
Answered by Dr. Ishu Bishnoi (52 minutes later)
Brief Answer:
Cause of incomplete sentence symptom

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. It is very sad that your are undergoing so much stress. I can imagine how hard is it to take care of your husband, having massive stroke.

You have only one symptom that is difficulty in completing sentence. As you are undergoing too much stress, I can rule out between psychological and neurological cause. The probable psychological cause can be

- Anxiety disorder - It can develop due to the stress at subconscious level. It can manifest as palpitation, sweating in palms/plantar area, dryness of mouth, inability to speak while in stress, tremors. Any of the above symptom or all can occur.

- depression - It is another common disorder. It can manifest as decreased sleeping, lack of interest, lack of appetite, social withdrawal, no peace in mind, suicidal thoughts.

For evaluation of your psychological functions, you must consult the Psychiatrist. If he will have any doubt about neurological cause like gangliocapsular stroke, frontal or temporal lobe lesion left side, it can be checked by
- MRI brain with diffusion weighted image

This investigation can identify old and new stroke areas both.
The treatment of stroke is mainly medical and rehabilitation. If any lesion, that can be managed surgically or medically depending on the type of lesion.

Hope it will help. If any doubt, do let me know.
Thanks. Take care.
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. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Causes Difficulty In Completing A Thought Or Sentence?

Brief Answer: Cause of incomplete sentence symptom Detailed Answer: Hi XXXX, thanks for asking from HCM. I can understand your concern. It is very sad that your are undergoing so much stress. I can imagine how hard is it to take care of your husband, having massive stroke. You have only one symptom that is difficulty in completing sentence. As you are undergoing too much stress, I can rule out between psychological and neurological cause. The probable psychological cause can be - Anxiety disorder - It can develop due to the stress at subconscious level. It can manifest as palpitation, sweating in palms/plantar area, dryness of mouth, inability to speak while in stress, tremors. Any of the above symptom or all can occur. - depression - It is another common disorder. It can manifest as decreased sleeping, lack of interest, lack of appetite, social withdrawal, no peace in mind, suicidal thoughts. For evaluation of your psychological functions, you must consult the Psychiatrist. If he will have any doubt about neurological cause like gangliocapsular stroke, frontal or temporal lobe lesion left side, it can be checked by - MRI brain with diffusion weighted image This investigation can identify old and new stroke areas both. The treatment of stroke is mainly medical and rehabilitation. If any lesion, that can be managed surgically or medically depending on the type of lesion. Hope it will help. If any doubt, do let me know. Thanks. Take care.