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My explanation is:
... seriously? That's all you got??
His father had dementia (thus genetically predisposed), he shows (and has shown for years) every single symptom of frontotemporal dementia.
...and your explanation is he gives speeched a lot and doesn't know big words? Are you trying to get a job with the media sane-washing his absurd bullshit?
I can certainly see why people point to dementia, and given how dumb Trump is there's little difference for practical purposes. But I have to lean on the explanation of general stupidity plus poor reading skills simply because his weirdest statements seem to occur when reading from a teleprompter, as opposed to media interviews and debates.
Look at the video you linked - almost every example is from him giving a teleprompter speech. Trump clearly doesn't know big words like "rebuttal" "Venezuela" and "anonymous". So when he sees it on a teleprompter he kinda has to sound it out in real time. Seriously, watch the video again but instead of Trump imagine the dumb kid from your second grade reading class doing a reading assignment. The Hannibal Lecter thing has been pretty well explained by Trump not understanding the difference between "asylum" in the immigration context and an "insane asylum" like the one Hannibal Lecter is in. Again, he's just very, very unknowledgeable.
Yeah there's some other stuff like the weird lean but that's probably just explained by his weird obsession with height and some sort of lifts. Remember, when Trump got that terrible hair transplant, he was much younger. He's never been functioning properly at a mental level.