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possible stroke - other possible causes?

Senior adult (upper 70s female, history of depression) showed dramatic change in behavior from August to November.  Caregiver could note the date of change (approx Oct 2).  Previously verbal, modestly mobile, lucid, highly emotionally expressive woman, suddenly shows:   inability to rise from seat or bed alone, incontinence, flat affect, limited signs of recognition of children, strange posture (not resting arms on sides of chair, not putting feet flat on floor), peculiar gaze (wide eyed gaze, full and notable blinks), and no affect.  She responds when spoken to (but limited), but initiates conversations only about needs (to go to bed, to get water, to locate her husband).   NO evidence of paralysis - but could this still be a stroke result?  Want to share advice to caregiver on what questions to ask the woman's GP.
Thanks for any advice.
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Avatar universal

A dramatic change in behavior and affect could indeed lead to a suspicion of stroke, especially in older persons.  Depending on the area of the brain affected and the severity of the stroke, it is possible for a stroke to cause the symptoms described above without any evidence of paralysis of extremities.

Has an MRI or CT scan been performed? It might be advisable to consult a neurologist to assess her condition and possibly have her undergo brain imaging.
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