This 75-year-old right-handed woman presented to the clinic for an urgent follow-up due to subacute changes in her speech. She had been diagnosed with Alzheimer disease two years prior, after presenting with a four-year history of progressive memory impairment. Her symptoms were stable until three weeks prior to her follow-up visit, when she became less talkative than usual and started slurring her speech. This was initially attributed to being tired (hectic holidays), but she continued to worsen, prompting an urgent visit to the primary care physician, who ruled out infections and metabolic abnormalities. She eventually plateaued, and the family considered the impaired communication her new baseline. Three days prior to the visit, she had a fall and hit her head. Since then, her speech further declined, and she was having difficulties with dexterity on the right. Although the family was aware she had previous falls, they stated this was the first time she had hit her head.