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Suggest Treatment For Difficulty Speaking When Diagnosed With Aphasia
Question: My husband had a stroke 6 weeks ago which has affected his speech, he has aphasia but can say some words but he cannot understand anything anyone says to him and he NEVER stops talking and does not listen or understand when I tell him to stop talking, is there anything you can suggest to stop his incessant talking as it's driving me slowly mad.
Brief Answer:
He has features of Wernicke's aphasia.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your husband's clinical details. Based on the description, he has features of sensory aphasia, also called as Wernicke's aphasia. This is commonly caused by decreased blood supply to left temporal lobe of brain.
Recovery would be slow and it takes months to see any significant improvement in his speech dysfunction.
Piracetam tablets can be given, which have been shown to improve language recovery.
To quieten him, a low dose of quetiapine may be given.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
He has features of Wernicke's aphasia.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your husband's clinical details. Based on the description, he has features of sensory aphasia, also called as Wernicke's aphasia. This is commonly caused by decreased blood supply to left temporal lobe of brain.
Recovery would be slow and it takes months to see any significant improvement in his speech dysfunction.
Piracetam tablets can be given, which have been shown to improve language recovery.
To quieten him, a low dose of quetiapine may be given.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My husband takes Clopidogrel 75mg per day, would Piracetam or Quetiapine have an adverse effect on this.
Brief Answer:
No.
Detailed Answer:
Thank you for getting back.
Clopidogrel is routinely given after stroke to prevent stroke recurrence, and should be continued lifelong along with a statin such as rosuvastatin or atorvastatin.
There is no significant adverse effect if we add piracetam or quetiapine to clopidogrel.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
No.
Detailed Answer:
Thank you for getting back.
Clopidogrel is routinely given after stroke to prevent stroke recurrence, and should be continued lifelong along with a statin such as rosuvastatin or atorvastatin.
There is no significant adverse effect if we add piracetam or quetiapine to clopidogrel.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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