Abnormal Speech Evaluation
- Sudden numbness in one arm or leg:
- Sudden weakness in one arm or leg:
- Facial weakness (unilateral):
- Difficulty swallowing
- Difficulty walking
- Difficulty with balance
- Loss of coordination
- Memory loss
Physical findings in someone with difficulty speaking due to angioedema may include:
Testing may be required to evaluate the sudden onset of difficulty speaking, with no clear underlying cause.
Tests that may be used to evaluate stroke or TIA include:
- CT scanning of the brain
- MRI scan of the brain
- SPECT scanning of the brain:
- A newer method that may provide earlier detection of stroke in some cases
- PET scanning of the brain:
- Detects levels of brain activity
- Blood clotting studies
- Serum electrolytes
- Serum glucose
- Pulse oximetry
A stroke or TIA may be caused by narrowing of the blood vessels in the neck, called the carotid arteries.
Tests that may be used to evaluate the carotid arteries include:
- Carotid angiogram:
- A special x-ray procedure that can detect blood vessel narrowing in the carotid arteries, which often cause strokes.
- Carotid duplex ultrasound:
Tests that may be used to screen for conditions that increase the risk of a stroke include:
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PubMed Abnormal Speech References
- Di Majo L, Bisceglia M, Lanzillo R, D'Angelo V, Gorgoglione L, Chiacchio L, Orefice G. Aphasia as a rare presentation of monosymptomatic demyelinating disease: case report and review of the literature. Neurol Sci. 2002 Jun;23(2):79-82. 
- Grossman M, Ash S. Primary progressive aphasia: a review. Neurocase. 2004 Feb;10(1):3-18. 
- Westbury C, Bub D. Primary progressive aphasia: a review of 112 cases. Brain Lang. 1997 Dec;60(3):381-406.