nutkin,

I suggest you try relaxing as you talk. Take a few breaths while gathering your thoughts then speak them. I often have to rehearse what I am going to say. I would not be surprised if your struggle is similar. If you rehearse your comments, even if only briefly, your brain does not need to process the conscious thinking and process the speaking at the same time.

Often, we brain injured can only do one thing at a time. We can think or speak. We may struggle to think and speak simultaneously. So, try breaking up the two processes. You will find your rehearsing give you a chance to speak more concisely and understandably too.

The shearing of tissue and related clots you experienced are generally focal injuries. Often, as the brain is bounced around inside the skull, nerve and vascular tissue can get torn as it grates against the bony protuberances inside the skull. The inside of the skull is quite rough. You probably had a sizable twisting of your head during the accident. This can cause such damage. It can also cause injuries to the upper neck.

Ask the neurosurgeon about your upper neck. Tell him that studies have shown that a high percentage of head injury symptoms can be attributed to upper neck injuries. He may be able to order a set of images of your upper neck to see if you have unresolved issues. These unresolved injuries could be the cause of your right side weakness.

My best to you.