Transient Aphasia And Migraine: What You Need To Know
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Transient aphasia is another symptom of migraine with aura that proves what the migraine community has been saying for years Migraine is not just a bad headache. It is a neurological condition that affects many body systems. Including communication through written and spoken language.
Transient aphasia is a neurological symptom that interferes with the ability to speak, write, read or even understand language. The inability to communicate can be a significant problem, especially if in the middle of a medical crisis such as stroke, head injury or migraine attack.
This article will explore what transient aphasia is and how it relates to migraine so you can better understand these issues and seek help if needed.
**While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor.
What Medications Are Used To Relieve Migraine Pain
Over-the-counter medications are effective for some people with mild to moderate migraines. The main ingredients in pain relieving medications are ibuprofen, aspirin, acetaminophen, naproxen and caffeine.
Three over-the-counter products approved by the Food and Drug Administration for migraine headaches are:
- Excedrin® Migraine.
- Advil® Migraine.
- Motrin® Migraine Pain.
Be cautious when taking over-the-counter pain relieving medications. Sometimes overusing them can cause analgesic-rebound headaches or a dependency problem. If you’re taking any over-the-counter pain medications more than two to three times a week, report that to your healthcare provider. They may suggest prescription medications that may be more effective.
Prescription drugs for migraine headaches include:
Triptan class of drugs :
- Co-enzyme Q10.
Drugs to relieve migraine pain come in a variety of formulations including pills, tablets, injections, suppositories and nasal sprays. You and your healthcare provider will discuss the specific medication, combination of medications and formulations to best meet your unique headache pain.
Drugs to relieve nausea are also prescribed, if needed.
All medications should be used under the direction of a headache specialist or healthcare provider familiar with migraine therapy. As with any medication, it’s important to carefully follow the label instructions and your healthcare providers advice.
Find Out Your Stroke Risk
Most strokes involve a clot that blocks blood flow to your brain . Sometimes, a weakened blood vessel breaks, causing bleeding . A temporary clot can cause a mini stroke or TIA . The smallest stroke can damage your brain or warn of a bigger stroke to come. It can limit your ability to think, talk or move. If you see symptoms, call 911 right away.
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What Causes Migraine With Brainstem Aura
Cortical spreading depression is believed to be the brain mechanism that generates migraine with brainstem aura, similar to typical visual aura in migraine. However, the current understanding is that CSD occurs either in the brainstem or additionally on the surface of the brain .
Like other forms of migraine with aura these attacks can be triggered by certain things.
Migraine With Brainstem Aura Symptom
Dysarthria is slurred or garbled speech. Attacks that cause aura with dysarthria are often diagnosed as Migraine with brainstem aura .
Speech difficulties can be a symptom of any of these three Migraine subtypes. It is an urgent and significant symptom if it has not already been diagnosed.
If your speech is ever garbled, discuss it with your doctor to rule out any other neurological causes and to better diagnose your Migraine type. Aside from Migraine, temporary aphasia can also be due to seizures or a transient ischemic attack .
A TIA occurs when blood flow is temporarily blocked to an area of the brain. People who’ve had a TIA are at an increased risk of having a stroke in the near future.
In most cases, the Migraine babble is not a dangerous symptom. It can be scary, embarrassing, and frustrating to experience difficulty with word finding.
Not to mention that it usually comes with blinding pain, an upset stomach, and a host of other debilitating symptoms. But for the most part, difficulty speaking with Migraine is nothing to worry about.
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Sensitivity To Light And Sound
Complex migraines often occur with only an aura, no pain involved. So it can sometimes be hard to pinpoint whether youre having a migraine.
Along with numbness and weakness, a sensitivity to light and sound can indicate that youre having a migraine.
You might also experience other vision-related changes, such as double vision.
What Is Migraine With Aura
A migraine aura describes neurological symptoms that occur prior to a migraine attack. Symptoms of a migraine aura can include problems with:
- Motor functions
Migraine aura symptoms last just a few minutes and should not leave any lasting effects. It is common for aura symptoms to occur only on one side of the body or one side of the visual field. After migraine aura symptoms resolve, usually a migraine attack or headache will occur.
Migraine aura symptoms and signs are very similar to stroke or transient ischemic attack . If you think you or someone you know is having a stroke, remember FAST.
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Anxiety Can Cause Tension In Muscles That Make It Hard Speak
If you dont have any motor speech impairments, your anxiousness will most likely trigger your cognitive ability to speak. Anxiety twitches your muscles, causing muscle tensions that might make it very difficult for your mouth and tongue to generate distinct, precise phrases. Its possible that youll come across as slurring your words.
Whats A Migraine Journal
- Keeping a migraine journal is not only beneficial to you, but it helps your healthcare provider with the diagnosis process. Your journal should be detailed and updated as much as possible before, during and after a migraine attack. Consider keeping track of the following:
- The date and time of when the migraine began specifically when the prodrome started, if youre able to tell its happening. Track time passing. When did the aura phase begin? The headache? The postdrome? Do your best to tell what stage youre in and how long it lasts. If theres a pattern, that may help you anticipate what will happen in the future.
- What are your symptoms? Be specific.
- Note how many hours of sleep you got the night before it happened and your stress level. Whats causing your stress?
- Note the weather.
- Log your food and water intake. Did you eat something that triggered the migraine? Did you miss a meal?
- Describe the type of pain and rate it on a one to 10 scale with 10 being the worst pain youve ever experienced.
- Where is the pain located? One side of your head? Your jaw? Your eye?
- List all of the medications you took. This includes any daily prescriptions, any supplements and any pain medication you took.
- How did you try to treat your migraine, and did it work? What medicine did you take, at what dosage, at what time?
- Consider other triggers. Maybe you played basketball in the sunlight? Maybe you watched a movie that had flashing lights? If youre a woman, are you on your period?
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Lifestyle And Home Remedies
Some people find relief from migraine symptoms using home remedies. These include:
- practicing relaxation techniques, such as progressive muscle relaxation, meditation, and yoga
- getting enough sleep each night
- resting in a dark, quiet room when symptoms start
- placing an ice pack on the back of the neck
- gently massaging painful areas of the scalp
- keeping a diary to help identify migraine triggers
Can Cervical Spondylosis Affect Speech & Cause Balance Problems
Cervical spondylosis is a typical condition of middle-aged and older adults. The condition occurs as a result of the degeneration of bones when the bones lose the cushion and rub against each other as the person grows older. Osteoarthritis is one of the widespread symptoms of cervical spondylosis.
Doctors diagnose cervical spondylosis based on symptoms generally in people who are experiencing arthritis or in adults who are age 55 and above. However, in certain cases, the condition is noticed at a much earlier age. One of the few reasons that causing cervical spondylosis is hereditary and obesity.
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Is Slurred Speech Permanent
Slurred speech from alcohol usually dissipates as the body metabolizes the toxins from the blood as they drain from the brain. Slurred speech from a permanent brain injury such as dementia, strokes, or lesions of the cranial nerves that allow movement of the oropharyngeal muscles may have permanent results.
Symptoms Of Hemiplegic Migraine
- Phonophobia and/or photophobia
The symptoms can last for hours to days, or rarely weeks, but most resolve completely.
Please refer to the International Classification of Headache Disorders 3rd edition website for more information on the criteria used to diagnosis hemiplegic migraine:
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When Do Your Headaches Require Medical Attention
According to the National Institute of Neurological Disorders and Stroke, a headache is the most common form of pain and a leading cause of missed work and school. In fact, the World Health Organization estimates that half of all adults experience at least one headache each year.
Not all headaches are alike, however. In general, there are two types of headaches:
- Primary: occur on their own with no underlying condition
- Secondary: occur as a symptom of another disease or disorder
At BodyWorks Medical Center, our skilled team of doctors and nurse practitioners look for the root cause of your headache and work to relieve your pain quickly so you can get back to your regular activities.
While primary headaches typically subside on their own in time, secondary headaches are of concern and need to be evaluated. In this blog, our team outlines some of the warning signs of a headache that requires medical care.
Does Slurred Speech Always Mean A Stroke
No, not necessarily. While difficulty speaking is often associated with stroke victims, there may be other reasons why a person cannot speak properly. Where blood supply to the brain has been interrupted for some reason, brain function can be impaired. Speech problems are common in elderly people with neurological conditions such as dementia. This can, in turn, affect muscles in the mouth and throat and hence verbal communication.
Speech problems do not always indicate a stroke, however. Sometimes old age or extreme tiredness may mean that someone is unable to enunciate words properly. Problems with the facial, throat or mouth muscles can also make speech difficult to understand. Alternatively, drinking too much alcohol can lead to an inability to communicate normally. When the brain is unable to tell your muscles to make the right sounds, speech may become slurred.
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What Questions Should I Ask My Healthcare Provider
- Will my child grow out of their migraines?
- What medications do you recommend for me?
- What should I change about my lifestyle to prevent my migraine headaches?
- Should I get tested?
- What type of migraine do I have?
- What can my friends and family do to help?
- Are my migraines considered chronic?
A note from Cleveland Clinic
Migraine headaches can be devastating and make it impossible to go to work, school or experience other daily activities. Fortunately, there are some ways to possibly prevent a migraine and other ways to help you manage and endure the symptoms. Work with your healthcare provider to keep migraines from ruling your life.
Last reviewed by a Cleveland Clinic medical professional on 03/03/2021.
When Should I Seek Immediate Help Or Contact My Healthcare Provider
- You are experiencing the worst headache of my life.
- You are having neurologic symptoms that youve never had before, including speaking difficulty, balance problems, vision problems, mental confusion, seizures or numbing/tingling sensations.
- Your headache comes on suddenly.
- You have a headache after experiencing a head injury.
Schedule a visit with your healthcare provider if:
- The number or severity of your headaches increase or your headache pattern changes.
- Your medications no longer seem to be working or youre experiencing new or different side effects.
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What Are The Treatments For Migraine
There is no absolute cure for migraine. However, lots of treatments are available to help ease the symptoms of a migraine attack.
When a migraine attack occurs, most people find that lying down in a quiet, dark room is helpful. Sleeping can also help. Some people find that their symptoms die down after they have vomited .
Most people affected by migraine will already have tried paracetamol, aspirin and perhaps anti-inflammatory drugs such as ibuprofen before they seek advice from their doctor. If ordinary painkillers alone are not relieving your symptoms, your GP might prescribe you a triptan to be taken in addition to over-the-counter painkillers . Triptans are available in different forms to suit individuals , although it is important to note that some people develop short-term side effects when taking triptans. Your doctor may also prescribe you anti-sickness medication. If your situation does not improve after treatment, you might be referred to a specialist migraine clinic.
It is important to avoid taking painkillers on more than two days per week or more than 10 days per month as this can in fact make things worse by triggering medication overuse headaches.
Timing Matters With Strokes
After a stroke, rapid medical response is crucial for a positive prognosis.
By the time a patient shows symptoms, the stroke has already occurred, Phaniraj said. The body attempts to improve blood flow to the blocked areas, but that process is not very predictable. The hours after a stroke are a delicate period, and the body needs help to overcome the damage, which is why specialized stroke centers are important.
The sooner someone seeks help for a stroke, the more brain cells can be salvaged, which limits the amount of permanent damage.
Every brain cell has a special function, and losing even just one should be avoided, Phaniraj said. What Alzheimers disease does to the brain in 10 years, a stroke can do in a second.
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Brocas Or Nonfluent Aphasia
This type or pattern of aphasia is also known as expressive aphasia and affects the left frontal part of the brain. Brocas area is responsible for reading, speaking and writing both words and numbers. People who experience this pattern will have difficulty finding the right word or number to use. Although they have lost the ability to speak coherent sentences, they dont have trouble understanding what others are saying to them. They might also have right sided paralysis or weakness. %20″ rel=”nofollow”> 1)
What Is A Complex Migraine
A complex migraine isnt a specific type of migraine, and its not an official diagnosis.
Its an older term that refers to migraines that present with stroke-like symptoms, says Lauren R. Natbony, MD, assistant professor of neurology at the Icahn School of Medicine at Mount Sinai in New York City.
You might have slurred speech, numbness or tingling on one side of the body, balance problems, brain fog, or double vision.
Stroke-like symptoms can be a part of a migraine aura, one of the phases of a migraine that can either occur before or during the head pain portion. Sometimes, though, you might not feel any head pain at all.
If these symptoms are part of your migraine, you are not having a stroke. However, since strokes are a medical emergency, you should seek help immediately if you think you might be having one.
Within the umbrella of complex migraine are several different types of migraine, says Dr. Natbony.
These include vestibular migraine, hemiplegic migraine, and migraine with brainstem aura.
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Causes Of Anxiety Slurred Speech
Slurred speech, also known as dysarthria, is when a persons words become jumbled together and may be difficult to understand. This is caused by the muscles that are used to create speech not functioning properly or to their best ability.
Slurred speech without alcohol is linked to a variety of diagnoses that are cause for concern, including:
- Multiple Sclerosis
- Cerebral Palsy
If you think theres any chance that you may suffer from these or any related conditions, see a doctor. You should never leave your brains health up to chance, because your brain is simply too important to take those types of risks.
However, it should be noted that in most cases where slurred speech is caused by the diagnoses above, the slurred speech is long lasting. It may fade in and out over the course of a lifespan, but rarely a few hours or less. Its possible, which is why this isnt a risk you should take to chance, but its uncommon.
For some people, anxiety can cause slurred speech, as well as issues that resemble slurred speech. All of the following are potential links between stress/anxiety and slurring of words:
These are just some of the reasons that anxiety may be responsible for slurred speech. It should also be noted that some slurred speech once in a while is normal even in those without anxiety. But when you have anxiety, its easy to feel as though your problems speaking mean something more than what someone without anxiety would think.
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These include: speech limited to single words or phrases that may not make sense, needing help with most everyday activities, eating less and having difficulties swallowing, bowel and bladder incontinence, being unable to walk or stand, problems sitting up and controlling the head, and becoming bed-bound.
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