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Speech is impaired. Some sentences are normal; some are gibberish.

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Posted on Sat, 9 Feb 2019
Question: Speech is impaired. Some sentences are normal; some are gibberish. He had a stroke three years ago and has had one such occurrence which was diagnosed as a mini-seizure and has since taken Levetiracetam - two 250mg tablets a day. Late yesterday evening he started experiencing the same thing.
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Answered by Dr. Erion Spaho (29 minutes later)
Brief Answer:
Another stroke to consider.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your query and here is my advice.

It is possible that another stroke happened, so, an evaluation in this direction is necessary.

So, you should try to convince him to go to the ER and to get evaluated further.

Besides treatment for seizures, blood thinners ( aspirin for example ) should be used if there are no major contradications.

Evaluation and treatment for possible high blood pressure, atrial fibrillation, also are necessary.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3920 Questions

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Speech is impaired. Some sentences are normal; some are gibberish.

Brief Answer: Another stroke to consider. Detailed Answer: Hello and welcome to "Ask a Doctor " service. I have read your query and here is my advice. It is possible that another stroke happened, so, an evaluation in this direction is necessary. So, you should try to convince him to go to the ER and to get evaluated further. Besides treatment for seizures, blood thinners ( aspirin for example ) should be used if there are no major contradications. Evaluation and treatment for possible high blood pressure, atrial fibrillation, also are necessary. Hope you found the answer helpful. Let me know if I can assist you further.