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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: Dr. cant make a diagnosisForum: Neurology Forum
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| My husband has memory problems and speech problems. Has a hard time at times getting his thoughts out. He had some dizzy spells and then started having speech problems. He was in the hospital for prostrate surgery and went into septic shock and almost died. His memory problems were real bad after getting out of hospital. Cant remember how long we were married or bith dates of myself or son. Knew these before surgery. He had several tests MRI, EEG AND BLOOD WORK. The Dr. cant come up with a diagnosis because he hasnt gotten any worse in the past year. He wants to rerun all the tests again. The Dr. said his memory and not being able to follow directions are caused from his speech problem. He knows what everything is for such as keys, tools and is driving well. No problems dressing or walking. He does have a hearing problem caused from the loud noise and pounding on the job. He does not wear a hearing aid could the above problems be caused from a hearing problem. The Dr. did not diagnosis anything as of yet. Also all his test results were normal, MRI, EEG. I am beside myself to know how to help him. I noticed he is having trouble following instructions I give him, but yet he can fix things. We painted and he forgot to trim and I had to do it. I dont know what to do and sure need advise or help in helping him. He knows everybody and remembers old classmates he hasnt seen in 30 years. Dear Jean: It seems that your husband may at least be suffering from 2 separate problems; The first problem consists of hearing difficulties that lead to a lack of understanding at times. The hearing problems could be secondary to the chronic loud noise he is/was subject to during at work. The second problem consists of selective memory problems that started or got worse after a complicated surgery. These problems may be consistent with the early diagnosis of dementia due to Alzheimer's disease (Especially if he is oledr than 50 years of age). At times neurological probles such as your husband's start or are precipitated by a medical illness. The fact that your husband's MRI, EEG and blood work are normal does not rule out the diagnosis of Alzheimer's, but they may rule out other problems such as stroke (if these studies were done and interpreted appropriately) Based on the above, I would suggest the following:
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