Doctor insights on:
Brain Stem Injury Symptoms
Spine Specialist: Recommend seeing a fellowship trained spine/pain specialist. ...Read more
I have just been diagnsed with brain stem ischemia after a fall 5 years ago. It is chronic and stable. I continue to have symptoms. Is there any tx?
See a neurologist: Primary progressive multiple sclerosis is a form of MS based on the timeline of your symptoms. In order to be diagnosed with PPMS, you must first have a diagnosis of MS by a neurologist. Secondly, you must have a clinical course that is indicative of PPMS - it can only be diagnosed over time. See a neurologist for further evaluation. http://www.nlm.nih.gov/medlineplus/multiplesclerosis.html ...Read more
Is a brain stem stroke diagnosable by MRI, or is it just a clinical diagnosis? I have an inkling by looking at the symptoms that I had one.
Typically yes: yes typically acute stroke will show up on MRI brain. In very rare instances strokes can be not seen (especially posterior circulation related) and the term "MRI negative stroke" is used in such a scenario. If you think you had a stroke you need to go to ED immediately to get MRI brain and close observation as some strokes can result in a dangerous brain swelling especially in young adults. ...Read more
Anatomy = function: The different brain regions control different functions. At the same time, they are interconnected. A brainstem lesion can cause any number of cranial neuropathies, impaired breathing, and in some cases, death. Cortical lesions can affect muscle strength, personality, language, etc. See a neurologist for further discussion. http://www.webmd.com/brain/picture-of-the-brain ...Read more
I have been having some MS like symptoms. Mri shows brain stem lesions n fluid on optic nerve sheaths. Could this be ms?
In 97/98 I was diagnosed w/prob M.S. by 3 dif. Dr.'s I had multiple symp M.R.I done & was told I have 2 spots on brain stem, my mem/mgrns r worse, what do I do?
See below: You probably have multiple sclerosis, and you need to be taking a potent oral agent, or even tysabri (natalizumab). Get updated mri's of both neck and brain, spinal fluid if doc unsure, and compare with prior films. N.B., migraine and ms are co-morbidities, and the memory loss is a sign of increased burden of disease. Do not wait, get all of this addressed. ...Read moreSee 2 more doctor answers
Are GBM in brain stem hereditary? Ex husband has gbm in brain stem for 6 years now. Should I worry about the kids?
No: There is no literature to suggest GBM's are hereditary. ...Read more
Need to know: what you mean by accessed? Vascular structures can be treated with microvascular techniques, but everything else requires open surgery. ...Read more
I have had a near-constant tingling vertically up the right side of my brain stem x 4 months. What is that? Should I be concerned? Thanks!
Yes, look into it...: Well, I'm hoping the tingling is up the right side of your neck. I don't think a person can actually identify tingling of the brain stem. Yes, I do think you should be concerned. It suggests a nerve impingement or entrapment somewhere in your neck or scalp. Start with your primary provider..an electromyogram might shed some light on the situation. Good wishes:) ...Read more
Dandy-Walker: Dandy-Walker is a congenital disorder of the 4th ventricle, which is replaced by a large cystic mass. Of course, there are other possibilities as well, but here is a link to get you started : http://ghr.nlm.nih.gov/condition/dandy-walker-syndrome ...Read more
For life: Brain stem functions include most things we do reflexively without thinking, like breathing, swallowing, adjusting our heart rate to our environment, sweating on the face, moving our eyes in unison, keeping our balance and even digesting food. The brain stem also houses the nerves that innervate the structures of the head, including facial muscles. ...Read more
Multiple problems: in older folks, local strokes, either from end arteries within stem, or without in vertebrobasilar circulation. Might have significant trauma causing vertebral artery dissection. Can see midline posterior tumors, mainly in children. Can be an area of involvement in multiple sclerosis, vasculitis, sarcoidosis, Lyme disease, etc. If there seems localized damage, an answer is needed. ...Read more
Could you tell me if the brain stem is the only part of the brain functioning, can someone ever recover?
No, not likely: The upper brain(cerebral cortex) is what gives us the ability to think and be rational. If that part is nonfunctional, then a person is left in a vegetative state which is no good life and we should let nature take its own course and not support him/her artificially. ...Read more
Is it possible to have a partially severed brain stem, and still survive? IF so, what does a partially severed brain stem actually mean?
Please repost: Taken out of context, your question cannot be answered. Please repost and explain the circumstances that caused you to post this question. ...Read more
Bad event: Brain stem hemorrhage is not great, as relatively small area with critical nerves and connections. Hard to control once started, and often pts left with chronic disability. I know this is not good news, but hopefully careful inpatient medical care will lead to survival and rehabilitation measures to restoration. ...Read more
Many reasons: Fluid in the brain can be normal or abnormal. There is spinal fluid all the time around the brainstem, but accumulation of fluid such as hydrocephalus and pseudotumor cerebri can cause problems. There are of course infection, tumors and other conditions that lead to fluid in the brain. You need to be under the care of a neurologist and get all your questions answered. ...Read more