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Doctor insights on: Brain Stem Bleeding Prognosis

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Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
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Bleeding at lower brain stem?

Bleeding at lower brain stem?

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.

Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more


Dr. Joyce Liporace Dr. Liporace
Neurology
29 years in practice
Johns Hopkins University School of Medicine
2

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Coma after brain stem bleeding. Age 75. Midsize bleeding. How long should we wait until we are sure that there will be no cure?

Coma after brain stem bleeding. Age 75. Midsize bleeding. How long should we wait until we are sure that there will be no cure?

More info: That question requires more information. An eeg should be a helpful predictor of prognosis. Speak with your neurologist. Many doctors are using medication to try and increase alertness-speak with the treating doctor about a trial of modafanil or amantidine.

Dr. Paul Abramson Dr. Abramson
Family Medicine
years in practice
UC San Francisco School of Medicine
3

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What is the prognosis for a brain stem stroke, 7 days ago, still on ventilator?

What is the prognosis for a brain stem stroke, 7 days ago, still on ventilator?

It depends.: The prognosis depends on many variables, such as the patient's age, other health conditions, and underlying cause of the stroke. However the need for mechanical ventilation a week out is, in general, not a good sign.

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Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
4

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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?

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.

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Dr. Alan Ali Dr. Ali
Psychiatry
28 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
5

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What does the brain stem do?

What does the brain stem do?

Brain stem: 1.Conduction of sensory & motor nerves to & from the brain. 2.Cranial nerves 3-12 to supply face & head & viscera. 3.Integrativefunctions for Cardiovascular system control, respiratory control, pain sensitivity control, alertness, awareness & consciousness.

Dr. Marcel Hungs Dr. Hungs
Neurology
22 years in practice
Rheinisch-Westfalische Technical Academy at Aachen
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What causes fluid in the brain stem?

What causes fluid in the brain stem?

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.

Dr. Andrew Reeves Dr. Reeves
Neurology
26 years in practice
Mayo Clinic College of Medicine
7

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What does brain stem compression mean?

What does brain stem compression mean?

Bad news: Means something is pushing on the brainstem. Because it controls breathing and other basic body functions, brainstem compression is very bad news, especially if it is rapid.

Dr. James Eitner Dr. Eitner
Family Medicine
30 years in practice
Western University of Health Sciences College of Osteopathic Medicine of the Pacific
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What scan will pick up brain stem neuron activity?

What scan will pick up brain stem neuron activity?

EEG: Depending on for what the doctor is looking an eeg or possibly a pet scan would be the most common choices. Although, brain stem activity would be documented by spontaneous breathing, etc.

Dr. Walter Husar Dr. Husar
Neurology
29 years in practice
University of Medicine and Dentistry of New Jersey - New Jersey Medical School
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I'm wondering can the brain stem be accessed without surgery?

I'm wondering can the brain stem be accessed without surgery?

Need to know: What you mean by accessed? Vascular structures can be treated with microvascular techniques, but everything else requires open surgery.

Dr. Michael DePietro Dr. DePietro
Internal Medicine - Pulmonary Critical Care
31 years in practice
Hahnemann Medical College
10

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Does the lou gehrig's disease happen in or from the brain stem?

Does the lou gehrig's disease happen in or from the brain stem?

Sometimes: In lou gehrig's disease the motor neurons (the nerves that supply the muscles) die. Your brain is connected to your muscles by 2 nerves, an "upper motor neuron" that lives in the cerebral cortex, that sends a message to a lower motor neuron that lives in the brain stem or spinal cord which in turn connects to the muscle. Either nerve cell can die in als. So the brain stem can be affected.

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Dr. Julie Abbott Dr. Abbott
Preventive Medicine
41 years in practice
11

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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!

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:)

Dr. Shoaib Shafique Dr. Shafique
Surgery - Vascular
30 years in practice
University of the Punjab, King Edward Medical College
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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?

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?

Consult vascular sur: Brain stem ischemia is due to blockage of blood vessels. You should see a vascular specialist to have the blood supply checked out.

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Dr. Alon Seifan Dr. Seifan
Neurology
9 years in practice
Mount Sinai School of Medicine
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What are brain stem function?

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.

Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
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What can damage the the upper brain stem?

What can damage the the upper brain stem?

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.

Dr. Stephen Southard Dr. Southard
Internal Medicine
11 years in practice
Tufts University School of Medicine
15
Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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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.

Dr. Joseph Gutman Dr. Gutman
Internal Medicine
39 years in practice
Universidad Central del Caribe School of Medicine
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Dr. Mark Fisher Dr. Fisher
Neurology
30 years in practice
Temple University School of Medicine
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Is it possible to have a partially severed brain stem, and still survive? IF so, what does a partially severed brain stem actually mean?

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.

Dr. Douglas Miller Dr. Miller
Pathology
37 years in practice
University of Miami Miller School of Medicine
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How long do most people survive brain stem glioma, before it kills them?

Variable: 'brainstem glioma' as a term covers a variety of very different tumors. The classic pediatric 'brainstem glioma' is a diffuse infiltrating high grade tumor of the pons, and it is usually fatal in less than two years from diagnosis. Some children and some adults have focal brainstem tumors, more commonly of the midbrain or medulla, and these may be surgically removable and have a long survival.

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Dr. Tanya Russo Dr. Russo
Pediatrics
21 years in practice
Nova Southeastern University College of Osteopathic Medicine
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I have searched and cannot find information on brain stem cysts on babies?

I have searched and cannot find information on brain stem cysts on babies?

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

Dr. Alan Patterson
2,219 Doctors shared insights

Bleeding (Definition)

Bleeding = ...Read more