My brother in law is 43 and seems to be having speech issues .  He sounds robotic when he speaks. It is syllable will disappear in a sentence.  What is the first course of action for him.  This has been going for over a year, but has gotten worse recently.
This is usually a sign of cerebellar disease. Does he seem to have problems balancing himself? He may feel like he is tipping to one side. Alternatively, he may actually fall to one side. He may have difficulty in walking straight. He may develop tremors when doing something, like say lifting an object. I would suggest an MRI brain to diagnose the same. It is the MRI is positive, we will need to treat it accordingly. If the MRI is normal, a speech therapist may be able to help Best of luck Chat Doctor.