Expressive dysphasia with chronic hemiplegic Migraine?

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  • Full Question:

    I have quite severe expressive dysphasia with my chronic hemiplegic migraine. I lose speech for a few hours a day. The rest of the time I repeat words a bit and stammer a bit, and leading up to the speech loss I stammer every word till I can't speak.


    I do forget lots of nouns but I put this down to high dose Topamax. I am wondering if you know if there is anything I can do to help myself with the frustration of this or if you know how other people deal with this. Does speech therapy tend to work with migraine induced speech problems? Nadia.


    Full Answer:

    Dear Nadia;

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    This is a difficult problem to work with, as it comes on rapidly and with the onsetting Migraine. You mention high-dose topiramate as a factor. Have other medications been tried for prevention? Something to discuss with your Migraine specialist. Unfortunately, for some Migraineurs speech, cognitive skills, balance, vertigo and many other symptoms co-exist with the Migraine. I don't know of any useful studies that would help diminish the speech difficulty per se. Seemingly, rapid abortive treatment for the Migraine could take the other symptoms down with it. Perhaps an IV strategy might be successful (i.e., IV magnesium).


    Good luck,
    John Claude Krusz and Teri Robert



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    Dr. Krusz is a recognized expert in the fields of headache and  Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and  Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated March 4, 2013.


Published On: March 04, 2013