Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care warning signs Underlying Cause

Slurred Speech Evaluation

The evaluation of difficulty speaking begins with a medical history and physical examination.

Physical findings in someone with difficulty speaking due to stroke may include:

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:

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:
    • Can detect narrowing and reduced blood flow in the carotid arteries that supply the brain

Tests that may be used to screen for conditions that increase the risk of a stroke include:

Continue to Slurred Speech Treatment

Last Updated: Dec 9, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Slurred Speech References
  1. 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. [1223549]
  2. Grossman M, Ash S. Primary progressive aphasia: a review. Neurocase. 2004 Feb;10(1):3-18. [15849155]
  3. Westbury C, Bub D. Primary progressive aphasia: a review of 112 cases. Brain Lang. 1997 Dec;60(3):381-406. [9398390]
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