My Grandmother Suddenly Started Speaking Gibberish During a Migraine

My grandmother has struggled with aphasia since childhood. She told me that when she was younger, she didn't really understand why communicating could sometimes be so difficult. It wasn't until she was an adult that she started researching aphasia and trying to understand what had been happening to her all those years. Recently, she told me about a particularly bad migraine she had while talking to a client on the phone. During the conversation, her speech suddenly became so jumbled that she was basically speaking gibberish. The client noticed something was wrong and asked her, “Are you okay?” What stood out to me was that she knew she was trying to communicate. She knew what she wanted to say, but the words coming out weren't matching what was in her head. She's also wondered whether some of her other experiences, including problems with attention and memory, could be connected. She doesn't have a definite answer, which is one reason she's interested in hearing from other people who deal with aphasia. She told me that one of the hardest parts is that communication problems aren't always obvious from the outside. Someone can hear you struggling to speak and assume you're confused or don't understand what's happening when you may actually know exactly what you're trying to say. She was actually having an ocular migraine while writing about her experience and joked that she hoped the post was still fluent enough to make sense. That got me wondering how many other people here have noticed their language or speech changing during a migraine. Obviously, sudden or unusual trouble speaking or understanding shouldn't automatically be blamed on a migraine. Those symptoms can also happen with a stroke or other neurological problems, so a new or unusual episode should be taken seriously and medically evaluated.