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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: possible stroke??Forum: Neurology Forum
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I posted a question a week ago regarding my husband's onset of a problem with the fluidity of his speech. The message reply raised some additional questions for me. First, are there any less serious causes for this type of speech problem other than those noted in your response (ie. stroke, tumor, and "host of other insults"). If so, what might they be and would stress be a possibility? Second, what are some of the other "insults" to which you referred. As my husband is only 41 and in excellent physical condition, we are quite concerned. Since my last post he has seen his family practitioner and an MRI of his head has been scheduled. Are there any other tests we should be asking for? The doc was concerned about the possible reaction to CT scan, relating a fatality he had experienced in his practice due to reaction to the dye. He has my husband scared to death of that procedure. I appreciate the information provided previously and hope you can add more light to this issue. Sincerely, L. Haslup It is difficult to fully assess your husband and give possible diagnoses over the internet. The list of possible entities that could cause such a speech difficulty was only partial and was not meant to cause undue alarm. You state your husband is young and healthy and these conditions would be unusual. The best way to proceed is to do just what you are doing. Talk to your physician for his impression and get the MRI done. If questions persist, then a second opinion to a neurologist is in order. This will clear up many issues and likely allow you to breathe a sigh of relief. Incidentally, the reaction your physician described to CT dye is decidedly rare and unusual. The vast majority of patients have these exams without incident and there is no cause for such fears. The MRI, though, is a more detailled exam and may be the better option for your husband anyway. Good luck.
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