[Shmaligater]

Hi everyone
My boyfriend had a concussion a couple of years ago befor i met him. Sometimes e gets these weird mood swings where he slurs his words which even if he did not slur them, either dont make any sense, or theyre horrible and mean...hours, sometimes even minutes after, he doesnt even remeber. I thought it was his alcoholism but hes been doing it sober too.
Pleas help. Were both getting very worried

[Mark in Idaho]

Shmaligater,

Welcome to NeuroTalk. It sounds like your BF may be having a seizure of some kind. He should get a neuro exam. He may also benefit from a neuro-psychiatrist (not neuro-psychologist) exam. His alcoholism makes it very difficult to point to a specific issue. Many neuro symptoms will manifest long after the trigger such as the alcoholism can manifest symptoms when he is sober.

[Kenjhee]

Did he have a frontal head injury?

[Concussion]

Actually, a much fuller; or a full history as possible of his injury and course of treatments etc. may help us have more light shed on what his situation may be and give us a better idea what he may be dealing with to assist you .........

Could he or both of you give us some more details as to what /when he was injured, how; what testing was then done; what followed after that initial period .........

Has he seen any Neurologists, Neuropsychologists, Physiatrists, Physical Medicine specialists ; or is he under anyone's current care?........

Mark is correct:

- Seizure activity could be responsible for some of those behaviors;
- Alcoholism is intrusive in aiding discovery of problems - as well as being totally toxic to individuals with head injuries;

Kenjhee asks a relevant issue:

- where was his head injury - Frontal, Temporal, Posterior(Occipital) - areas of the injured head/brain leave tell-tale injury in the brain that can result in future problems for long periods, including life-long problems that are in need of continued follow-up with specialists in Neurology/NeuroPsychology.

[Margarite]

First, make sure that he has seen a neurologist who has done an MRI or CT scan to make sure that he is not in some kind of danger of death
Second, stress, alcohol, and other stimulants/depressants are not good for him.
Third, patience and understanding from you are sooooooooooo important. (Two of my closest friends were extremely understanding and patient with me, and that is why I was able to remain able to do all I'm able to do (work, school, movies, computers, etc))
Fourth, make sure that he never hits his head, NEVER! It is so important to recovery.
Fifth, try to imagine that you are in pain and that reality is slipping through your fingers, you are angry because you can't control it, and your own body is fighting against you, imagine how you would lash out at those around you who cannot possibly understand what it feels like! Imagine, and then have more understanding, and your understanding will help him be more patient with himself.
Other people supporting us is the only way we keep going through the days, weeks, and years of this stuff. YOU have the power to make him feel OK about feeling awful.
It is a fearsome responsibility, but it is wonderful too.
Good luck!
In Christ,
Margarite

[Mark in Idaho]

At 2 years post injury, an MRI or CT Scan is of little value unless a neuro exam shows a symptom that indicated the need for imaging. An EEG may be more informative.

A Neuro Psychological Assessment would likely be very informative but a NeuroPsychiatric Exam may be able to identify the cause. He and those close to him need to understand these episodes so proper precautions can be taken.

People with these issues can be easily abused by law enforcement as their behaviors can be considered criminal acts.

He needs to have someone help him write a Medical Emergency note to be attached to his driver's license that explains the physiological causes of his erratic behavior. It could be as simple as "I have a brain injury that can cause me to exhibit erratic behavior. I may not make any sense or I may sound very aggressive. These episodes will pass. Any assistance while I experience these erratic episodes is helpful. My Emergency contacts are : "