Doctor insights on:
Acute Pontine Stroke
Superficial left pontine tegmentum tiny 3 mm t2 hyperintensity in keeping with a perivascular space on mri. Could this be from a stroke?
Stroke: Not to worry. Perivascular spaces (Virchow-Robin spaces) are normal and not caused by a stroke. They can occur throughout the brain. The perivascular spaces vary in size (up to 5 mm) and are associated with arteries in the brain.
4 months post pontine stroke in a previously healthy 44yr old male. Orgasm causes severe neck pain, nausea and dizziness lasting 2-4 hours.
Worrisome: So the stroke victim is apparently not you. Something about this case smells to me like the stroke was due to a top-of-the-basilar occlusion or basilar artery dissection or both. My advice is to lay off the whoopee pending a thorough reassessment by a neurologist including possibly repeat imaging studies viz. MRI and MRA.See 1 more doctor answer
Pontine stroke: Most of the oedema should now be resolved
My husband suffered from brain stroke in pons area one and a half year back. He is recovering but is unable to walk as his left side is still weak.
Very unlikely: It has been reported that acute stress can cause severely elevated blood pressure and thus brain hemorrhage. It is however, very rare. Probably more likely to happen in older patients when the blood vessels are already somewhat damaged. It is another reason to live our lives with less stresses.
Acute stroke Rx: There are many treatments for acute stroke, including: 1. blood pressure management, when needed 2. blood sugar mgmt when needed 3. IV TPA- tissue plasminogen activator, for many cases 4. aspirin 5. arterial TPA, (alteplase) in select cases 6. thrombosis retrieval, in very select cases 7. later on, cholesterol treatment, anticoagulation for atrial fib, and artery repair may be optionsSee 1 more doctor answer
Time is essential: It is most important to seek treatment for sudden changes in the ability to move, sense, or think. If a stroke is treated in first few hours, a great improvement in outcome may be possible. If you wait even a few hours to see if if gets better, the chances of improved recovery are greatly lessened.See 1 more doctor answer
Acute - Sudden Onset: Acute stroke refers to a stroke that has just occurred. Ischemic stroke may be hyperacute (based on sudden onset neurological symptoms and imaging findings, MRI and perfusion study) and potentially treatable, acute (1-7 d), subacute (7-21 d), and chronic (>21 d).See 1 more doctor answer
Depends: Depends on how much you give. If you give 30-40 ml/hr not so much but if its more it might again fuida should be determined by other status as well like renal failure, eating status and many more factors.
Could someone regain speech and mobility after a acute stroke with having uncontrollable movements?
Possible: After a stroke the areas around the stroke that are not affected start taking over for the lost function. This leads to different levels of recovery depending on the size and location of the stroke. A good rehabilitation program can expedite and maximize recovery.
Please tell me, could some regain speech and mobility after a acute stroke with having uncontrollable movements?
Rehabilitation: Although stroke recovery may be variable from patient to patient, speech and physical therapies offer great promise of recovery, and it is possible to witness dramatic improvements.
What exactly is an inflammatory stroke? Neuro said LP can tell us if that's the cause of sudden onset dementia
Possibly: A transient ischemic attack (TIA) is caused by the transient blockage of a blood vessel in the brain, which causes symptoms (weakness, numbness, changes in vision, difficulty speaking, etc.) because the nerve cells aren't working when the blood vessel is blocked. If the blockage is brief (< 1 hour) there may be no damage. If the blockage lasts longer, damage (a stroke) may occur.See 1 more doctor answer
Yes: Yes indeed. When neurologic symptoms start suddenly we always considered it an acute stroke. If they pass within few minutes or hours completely, they get labeled tia. If they stay and there are changes on mri, then we call it a stroke. But for all practical purposes, TIA is considered an acute stroke at the onset.See 1 more doctor answer
What to do if brain findings are most consistent with a sub acute stroke within the left pica distribution." and what follows this revelation?
Uncover cause: All strokes are caused by vascular compromise, and often due to hypertension or diabetic affects on brain circulation. If you have had a stroke, get it treated, but biggest issue involves preventing future events. Multiple meds are very helpful. See a neurologist who focuses in area of stroke and get stabilized/.
Can be improved: Speech therapists help immensely, and are very successful with dysarthria. Occupational therapists may provide additional support. Some medications, such as Ritalin (methylphenidate) may improve dysphasia, and occasionally help dysarthria. So, lots of support out there. Get involved in a rehab program.
Time critical: Within 3 hours of symptoms (up to 4.4 hours in some cases) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers.See 1 more doctor answer
No: You can but only under MD supervisionSee 1 more doctor answer