'Dystextia': Gibberish texts sound stroke alarm

By Ivan Oransky, Reuters

NEW YORK - Imagine you were a devoted husband, waiting to hear from your wife about her due date after a visit to the obstetrician, and you saw these on your phone:

"every where thinging days nighing"

"Some is where!"

That's what happened last December to a Boston-area man, who knew that autocorrect - known for its bizarre replacements - was turned off on his 11-week-pregnant wife's phone.

You'd probably be tempted to make sure your wife, 25, got to the emergency room. When she did, doctors noted several signs of a stroke, including disorientation, inability to use her right arm and leg properly and some difficulty speaking.

A magnetic resonance imaging scan - MRI - revealed that part of the woman's brain wasn't getting enough blood, clinching the diagnosis. Fortunately, her symptoms went away quickly, and the rest of the pregnancy went just fine after she went home from the hospital on low-dose blood thinners.

The case, say three doctors from Boston's Harvard Medical School who reported it online today in the Archives of Neurology, suggests that "the growing digital record will likely become an increasingly important means of identifying neurologic disease, particularly in patient populations that rely more heavily on written rather than spoken communication."

The authors describe the phenomenon as "dystextia," which is the word used by other doctors in an earlier case involving a migraine, and symptoms of a stroke diagnosed for other reasons.

"In her case, the first evidence of language difficulties came from her unintelligible texts," one of the report's authors, Dr. Joshua Klein, told Reuters Health by email.

Strokes are rare in women aged 15 to 34, with about 11,000 per year, according to data from the U.S. Centers for Disease Control and Prevention published last year.

Dr. Sean Savitz, who directs the stroke program at the University of Texas Health Science Center in Houston, said he has seen a few patients who sent emails suggesting they were having difficulty with language, a condition known as aphasia.

Such clues usually come with other information however. In this case, for example, the patient's obstetrician's office later remembered that she had trouble filling out a form. And they might have caught the language difficulty earlier had the woman not had a weak voice, thanks to a recent upper respiratory infection.

"So, this case report per se does not indicate to me if dystextia is going to be more common to pick up strokes," Savitz told Reuters Health by email, "but I do think it will be a valuable addition to the collection of information that neurologists should obtain when taking a history."

"The main stroke warning signs with respect to texting would be unintelligible language output, or problems reading or comprehending texts," said Klein. "Many smartphones have an ‘autocorrect' function which can introduce erroneous word substitutions, giving the impression of a language disorder."

Autocorrect, said Savitz, a professor of neurology, can confuse matters - even for doctors.

"I have often joked with my colleagues when using the dictation of the smartphone, that it gives me an aphasia," he said. "Potential for lots of false positives!"

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Discuss this post

A lot of Newsvine posters cause alarm. Posting nonsense is certainly a sign of neurological problems. But is being in the "dull normal" range actually a treatable condition?

  • 6 votes
Reply#1 - Mon Dec 24, 2012 9:41 PM EST

LOL !

I'm not sure whether or not "dull normal" can be treated, but I am pretty sure the comedian Ron White was correct when he said, "you can't fix stupid."

  • 4 votes
#1.1 - Wed Dec 26, 2012 7:51 AM EST

Eoishjajle slehof bejain gsoen s a ejo ;alje.

  • 4 votes
#1.2 - Wed Dec 26, 2012 8:15 AM EST

It does explain a lot of post-election posts, though.

  • 3 votes
#1.3 - Wed Dec 26, 2012 10:12 AM EST
Reply

I had a stroke 7 years ago and wind up in ICU. My brain was swollen, plus could not pronounce, but I knew I was aware, too. Not fun with my lawyer visited with me. "I cannot understand you at all." As I looked back from my stroke, it is called "aphasia": an impairment communication. I learned quickly to shut my mouth!

  • 4 votes
Reply#2 - Mon Dec 24, 2012 11:10 PM EST

I'm right there with ya Roxanne. I had a stroke 5 years ago. To be specific it was called a Broca's aphasia event which resulted in "a defect or loss of the power of expression by speech, writing, or signs, or of comprehending spoken or written language, due to injury or disease of the brain centers." My symptoms started with "contextual dyslexia" which is the ability to recognize words in a sentence but the inability to string the words together in order to understand the context of the sentence. I was reading email when this happened and I knew something was wrong so I got up to call my wife for help and then the weakness hit my right side and I collapsed. I eventually got to a phone and somehow managed to call my wife at work (how I remembered the phone number in the condition I was in is beyond me). However, it was at this point the aphasia kicked in and when I got my wife on the phone and tried to tell her what was going on, she asked if I was drunk LOL. Somehow I managed to communicate the fact I was in trouble and she took me to the ER. I was unable to communicate for 3 days. And I totally understand your statement of your lawyer not understanding you at all. I called my best friend while I was in the hospital to let him know what happened and after we got off the phone he called my wife and asked her if I was drunk LOL. Anyhoo, that's my story and I'm sticking to it.

As far as this article goes, a few posters have taken exception to the use of the word "Dytextia". I can understand, however, I don't think the author of this article means any disrespect to anyone who suffers from dyslexia or a stroke.

The first rule of journalism is have a catchy title to grab the reader's attention in order to persuade them to read your article. I think "Dystextia" is a nice play on words in the context of this article. Then again, I'm an English professor and I appreciate creative use of language.

And I actually learned something from reading the comments to an article today. Usually comments are rants, bigotry, idiocy, etc... I'd never heard the term "dull normal" before. Had to google it. "Learn something new everyday" is a personal goal of mine. Damn, it's not even 10am and I've learned something; what am I to do with the rest of the day??? ;)

  • 3 votes
#2.1 - Wed Dec 26, 2012 9:43 AM EST
Reply

I take exception with the use of the term "dystextia". Someone thought it clever, I reckon.

Dyslexia is nothing like having a stroke. Trust me.

  • 1 vote
Reply#3 - Mon Dec 24, 2012 11:20 PM EST

dysphasia means difficulty speaking.

aphasia means unable to speak.

"dys" means difficulty; "a" means without in these Latin words.

-phasia means speech

Has nothing to do with dyslexia, other than the beginning prefix of difficulty.

  • 7 votes
#3.1 - Tue Dec 25, 2012 8:36 PM EST

They are not disparaging "dyslexia". What they have done is what physicians have done forever: using Latinate suffices and prefices to create a universal diagnosis that is understood in the medical world.

Then, an article like this happens and a spouse can call the doctor and say, "I got a weird email from my loved one, I think something is wrong." More tools makes for a better toolbox.

  • 1 vote
#3.2 - Wed Dec 26, 2012 10:16 AM EST
Reply

You can have this gibberish texting issue (along with typical aphasia symptoms)with migraine aura as well. I had it for about 15 minutes before my migraine hit, but once the pain set it, the aura left. This isn't just a sign of a stroke...

  • 1 vote
Reply#4 - Tue Dec 25, 2012 12:16 PM EST

Also many drugs can cause people to become confused and text or write gibberish including sleep aids such as Ambien and pain medications as well.

  • 1 vote
Reply#5 - Tue Dec 25, 2012 1:40 PM EST

I think the point they are trying to make is that if you see this in someone who doesn't usually text that way it is a sign of something that needs to be checked out. Makes sense to me, and if you are on drugs that make you that confused you may want your dosage checked...might be okay or might be a reaction or too much.

Yes, it can be a migraine, but that needs care as well, right? This is information that could save a life. We have been informed, so a life could be saved...good thing, right? I think most people you know would know if you have dyslexia, so I'm thinking they mean in someone who doesn't usually type that way and it is certain patterns they are pointing out. Early, was there a point to your post? This isn't about the intelligence of a post, but whether it makes sense or not. My phone makes up junk and I forget to check before I send, so this wouldn't help me much I think..lol. But yes, I think it is a helpful article and we can choose to heed the suggestions or not.

  • 7 votes
Reply#6 - Tue Dec 25, 2012 6:28 PM EST

Nicely said, ram, particularly in your oblique reference to ShayT's post.

Some are attempting to be clever in their responses, but this is a subject which really does not call for sly remarks.

In regard to the pregnant women, whose stroke served as the example for the story, it is nice, for once to hear of a disaster which was averted.

    #6.1 - Wed Dec 26, 2012 6:46 AM EST
    Reply

    I think the point they are trying to make is that if you see this in someone who doesn't usually text that way it is a sign of something that needs to be checked out

    I agree.

    • 2 votes
    Reply#7 - Tue Dec 25, 2012 9:34 PM EST

    With the unintelligible texts empty-headed teens write these days, how can you tell the difference?

    • 3 votes
    Reply#8 - Wed Dec 26, 2012 7:43 AM EST

    I'm sure the cellphone industry will now insist texting is a vital diagnostic medical tool...

      Reply#9 - Wed Dec 26, 2012 7:52 AM EST

      I just turned Autocorrect off! It annoyed me so very much I was ready to smash the phone into the wall. Far better to trust to my own spelling abilities, such as they are. LOL!

        Reply#10 - Wed Dec 26, 2012 8:12 AM EST

        At least you CAN turn it off!

          #10.1 - Wed Dec 26, 2012 11:10 AM EST
          Reply

          Hmmm maybe texting is the source of having a stroke! Class action lawsuits shall follow...

          • 1 vote
          Reply#11 - Wed Dec 26, 2012 9:57 AM EST

          In a recent study, a group of campers were tested before and after two weeks in the woods without any of the so called "smart devices". You guessed it! The campers taking the test became smarter following the digital diet. If text gibberish is really an indicator of a stroke, we have a real serious and widespread problem.

            Reply#12 - Wed Dec 26, 2012 10:23 AM EST

            So 4chan users are all stroke victims! It all makes sense now.

              Reply#13 - Wed Dec 26, 2012 10:52 AM EST

              I get these strokes between midnight and 4am on weekends. Maybe now my ex girlfriends will believe me.

              • 2 votes
              Reply#14 - Wed Dec 26, 2012 11:03 AM EST

              It happened to me a few years ago when I was trying to type on the computer at my office. Although I was fully alert, a string of nonsense words appeared on the screen, even though I thought I was typing correctly. I wanted to fix it, but couldn't figure out how. I put my head on the desk for five minutes, then called for a colleague to drive me home. Later I realized I may have had a mini stroke. Next time I'll know what's going on. It's fine to make jokes about it in these comments, but it's important to be able to recognize it in case it happens to you or your loved ones.

                Reply#15 - Wed Dec 26, 2012 11:42 AM EST

                "The smoker you drink, the player you get" - Joe Walsh

                • 1 vote
                Reply#16 - Wed Dec 26, 2012 12:21 PM EST

                methinks you were a teen in the 70s as well

                  #16.1 - Wed Dec 26, 2012 9:15 PM EST
                  Reply
                  Comment author avatarBunny Archuletavia Facebook

                  This happened with me in November. When I finally figured out how to use my very basic cell phone after a few days, I sent gibberish texts. I had Sepsis. Spent a few days in the hospital flushing out the blood infection.

                    Reply#17 - Wed Dec 26, 2012 12:34 PM EST
                    Comment author avatarBunny Archuletavia Facebook

                    This happened to me in November. When I finally figured out how to use my very basic cell phone, I sent gibberish text messages. I had sepsis. I spent a few days in the hospital flushing out the blood infection.

                      Reply#18 - Wed Dec 26, 2012 12:37 PM EST
                      Comment author avatarBunny Archuletavia Facebook

                      I know, I still appear confused. That"s what I get for correcting my grammar!

                      • 1 vote
                      Reply#19 - Wed Dec 26, 2012 12:41 PM EST

                      Crap. I don't own a cell phone and the company provided cell phone isn't a smart phone and doesn't have a data plan.

                      How will people know that I'm having a stroke?

                      • 1 vote
                      Reply#20 - Wed Dec 26, 2012 5:07 PM EST

                      Read up on the symptoms.If you feel like that,punch someone in the face,get their phone,and start texting like mad!

                        #20.1 - Wed Dec 26, 2012 9:14 PM EST
                        Reply

                        So does this mean when my daughters can't read my texts I may be having a stroke,AND have thick fingers?

                          Reply#21 - Wed Dec 26, 2012 9:13 PM EST

                          After spending much time on DYAC, I can now start to weed out the texts of people that must be having a stroke from those that legitimately have autocorrect get in the way!

                          This dose have interesting diagnostic uses. I also think this would be frustrating to have to live through.

                            Reply#22 - Thu Dec 27, 2012 9:44 AM EST
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