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.
Dear Nadia;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).
John Claude Krusz and Teri Robert
If you need help finding a Migraine and headache specialist,
visit our listing of Patient Recommended Specialists.
About Ask the Clinician:
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.
If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.
Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.
Published On: March 04, 2013