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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headaches And Slurred Speech?

Hello, My daughter is 31 years of age. She went to the emergency room in Charlotte, NC on February 20, 2017 complaining of headaches and had slurred speech. The doctor in the emergency room gave her a prescription for migraines and told her to go home. She insisted that they do some tests. They did a CT scan. They saw something on the scan and proceeded with an MRI. After the MRI results, my daughter was informed that she had a stroke. She was sent to get another MRI at the same hospital by a neurologist. His diagnosis was MS. Both doctors kept going back in forth about the diagnosis, whether she had a stroke or MS. I took her to primary care physician and she was baffled. She recommended my daughter to another neurologist who specialize in MS. He went over her results and stated that he didn t see any signs of Ms. We have sent her records to John Hopkins in Baltimore, MD to see if they can find out what s going on. My daughter still has slurred speech and severe headaches.
Tue, 9 Oct 2018
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General & Family Physician 's  Response
Hi,

I have read your query just now. Multiple sclerosis and stroke have a lot in common. It needs high expertize to differentiate both. Stroke in this age is not that common. Let me tell some points in favour of multiple sclerosis and some points here in favour of stroke.

Points in favour of stroke:
1) If she has diabetes, hypertension, any autoimmune disorders, obstructive sleep apnea (overweight and excess snoring) it favours the diagnosis towards stroke.
2) A headache, difficulty in walking, slurred speech, deviation of mouth favours stroke.
3) Lack of coordination favours stroke.

Points in favour of MS:
1) Any family history? If yes then it's more likely MS.
2) Electric shock like sensation associated with certain movements like flexing the neck
3) Slurred speech.
4) Problems with bowel movements and bladder dysfunction.
5) Typical radiological findings of multiple sclerosis.
6) Any tremors or twitching can shift it towards MS.

Consult with the Neurologist, and he will be able to pinpoint the diagnosis and treat it.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Moses John Wesley,
General & Family Physician
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What Causes Headaches And Slurred Speech?

Hi, I have read your query just now. Multiple sclerosis and stroke have a lot in common. It needs high expertize to differentiate both. Stroke in this age is not that common. Let me tell some points in favour of multiple sclerosis and some points here in favour of stroke. Points in favour of stroke: 1) If she has diabetes, hypertension, any autoimmune disorders, obstructive sleep apnea (overweight and excess snoring) it favours the diagnosis towards stroke. 2) A headache, difficulty in walking, slurred speech, deviation of mouth favours stroke. 3) Lack of coordination favours stroke. Points in favour of MS: 1) Any family history? If yes then it s more likely MS. 2) Electric shock like sensation associated with certain movements like flexing the neck 3) Slurred speech. 4) Problems with bowel movements and bladder dysfunction. 5) Typical radiological findings of multiple sclerosis. 6) Any tremors or twitching can shift it towards MS. Consult with the Neurologist, and he will be able to pinpoint the diagnosis and treat it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Moses John Wesley, General & Family Physician