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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Slurred Speech And Weakness In Leg. Normal MRI, EEG, ECG, Brain CAT Scan. What Could This Be?

My husband is experiencing slurred speech and weakness in the leg. His episodes last for a several seconds and the the symptoms go away. He gets these episodes several times a day. He was admitted to the hospital and was there for 3 days and he took am MRI, MRA, EEG, EKG, Ecocardigram, and brain catscan. Blood work was also done but every test and blood work-up has come back negative or normal. He keeps getting dismissed since no one can figure out the problem. Any ideas?
Tue, 10 Dec 2013
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Neurologist,  's  Response
Hi,
Thank you for posting your query.

Your husband's symptoms are most likely TIAs, transient ischemic attacks. In TIA, all the tests may come out as normal. In this case, the blood supply to left side of brain gets reduced leading to slurred speech and right-sided weakness.

He should be started on aspirin and rosuvastatin to prevent major strokes in future.
In addition, he should be screened for diabetes, high BP, cholesterol and homocysteine, and if they are high, they should be treated too.

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/

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Slurred Speech And Weakness In Leg. Normal MRI, EEG, ECG, Brain CAT Scan. What Could This Be?

Hi, Thank you for posting your query. Your husband s symptoms are most likely TIAs, transient ischemic attacks. In TIA, all the tests may come out as normal. In this case, the blood supply to left side of brain gets reduced leading to slurred speech and right-sided weakness. He should be started on aspirin and rosuvastatin to prevent major strokes in future. In addition, he should be screened for diabetes, high BP, cholesterol and homocysteine, and if they are high, they should be treated too. 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/