Top
40
Doctor insights on: Brain Stem Bleeding Prognosis

Share
1

1
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. ...Read more

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


2

2
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. ...Read more

3

3
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. ...Read more

4

4
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. ...Read more

5

5
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. ...Read more

6

6
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. ...Read more

7

7
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. ...Read more

8

8
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. ...Read more

9

9
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. ...Read more

10

10
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. ...Read more

11

11
I'm wondering can the human body survive without a functioning brain stem?

I'm wondering can the human body survive without a functioning brain stem?

Likely not: The brain stem controls vegetative functions - respiration and awareness. Loss of the brain stem would result in coma and unable to breathe. ...Read more

12

12
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:) ...Read more

13

13
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. ...Read more

14

14
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. ...Read more

15

15
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. ...Read more

17

17
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

19

19
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. ...Read more

20

20
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. ...Read more

21

21
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 ...Read more

22

22
What are the different in symptoms brain stem lesion and cortex lesion with details?

What are the different in symptoms brain stem lesion and cortex lesion with details?

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

23

23
MRI shows abnormal activity on left side of brain and fluid on brain stem? What could be wrong? Or how does this happen?

MRI shows abnormal activity on left side of brain and fluid on brain stem? What could be wrong? Or how does this happen?

Neurologist: Your neurologist or neurosurgeon will review this study and discuss the differential diagnosis and consider whether any further imaging studies should be done. Since they know your current neurological findings they are best qualified to advise you about diagnosis and any needed treatment. ...Read more

24

24
If your on life support due 2 caerdic arrest & the brain stem is fine just the other part of brain is dead. Can your brain recover & u survive. : (?

If your on life support due 2 caerdic arrest & the brain stem is fine just the other part of brain is dead. Can your brain recover & u survive. : (?

Anoxic injury: To the cerebral hemispheres can result in so much brain swelling that the brain stem is damaged due to compression. This typically occurs 72 hours after the episode of ischemia and results in death. If one survives the consequences of cerebral edema, the resultant deficits depend on the degree of injury and recovery. No two cases are alike. Recovery can be a slow process and incomplete. ...Read more

25

25
If your brain stem is the only thing working in your brain. & your took off life support and live 2 days. If left on longer is there a chance of livin?

If your brain stem is the only thing working in your brain. & your took off life support and live 2 days. If left on longer is there a chance of livin?

Sorry for this ques.: In my opinion, life=hope & NOBODY can predict with 100% certainty that a person CANNOT miraculously recover until there is literally not 1 single live cell left in the body. Having said that, tests exist which can give virtual 100% certainty that there'll be no turn around. BTW, if the brainstem's working so is the rest. Likely problem is not enough ELECTRICAL JUICE to turn the engine over. ...Read more

26

26
What is your thought on having the gamma knife on a meningioma on the brain stem and cranial nerves? Over the single doses 5 days a week for 5 weeks

What is your thought on having the gamma knife on a meningioma on the brain stem and cranial nerves? Over the single doses 5 days a week for 5 weeks

Pros'/Con's: Radiosurgery, such as the gamma knife, might be a good option for residual, growing tumor following resection or if your tumor is deemed inoperable. There is risk of injury to the brainstem and cranial nerves. A surgical resection, however, carries the best chance at a cure. ...Read more

27

27
What is the survival rate of patients with brain stem gliomas?

What is the survival rate of patients with brain stem gliomas?

Poor survival rate: Brainstem gliomas are primary brain tumors that arise from the glial tissue and are usually astrocytomas (grades 1-4). Diagnosis is by mri. Rarely are these biopsied or operated upon because of their critical location in the brainstem. For the highest grade, survival is on the order of months. The lower grade may survive a couple of years. Radiation and chemotherapy do play a role in treatment. ...Read more

28

28
Why is it that severe brain stem contusions result in unconsciousness?

Why is it that severe brain stem contusions result in unconsciousness?

Injury to RAS: Because of injury to the neurons and pathway of the reticular activating system that is responsible for consciousness. ...Read more

29

29
Does and EEG pick up brain stem neuron activity?

No: It does not pick up direct brainstem activity. Brainstem can modulate cortical (surface of brain) activity which is what is seen on eeg. ...Read more

30

30
What to do if my brain stem injury due to chiropractic neck alignments?

What to do if my brain stem injury due to chiropractic neck alignments?

Spine Specialist: Recommend seeing a fellowship trained spine/pain specialist. ...Read more

31

31
Can a brain stem stroke have a role in a mva of being hit from behind?

Can a brain stem stroke have a role in a mva of being hit from behind?

The driver or you?: Not sure what you are asking, but let's assume, you got rear ended, and it caused a stroke, at the base of your brain. If you have atherosclerosis, with brittle blood vessels, and arthritic degeneration of the cervical spine, the vertebral artery can be torqued in the foramen transversarum in the neck and result in a stroke. ...Read more

32

32
Is there anyway to treat, or reduce the size of a brain stem cavernoma with diet or supplements?

Is there anyway to treat, or reduce the size of a brain stem cavernoma with diet or supplements?

No: Central cavernomas are serious, interesting phenomena. As you must know, if it's that deep, then surgical removal is probably not possible (or wise). But critical issues are the extent of arterial involvement (if any), and of larger than capillary involvement (if any). Your neurologist and neurosurgeon should be able to give you a solid assessment of this. ...Read more

33

33
What are symptoms of PPMS? Had a Brain and brain stem MRI - normal. I still think I have PPMS.

What are symptoms of PPMS? Had a Brain and brain stem MRI - normal. I still think I have PPMS.

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

34

34
Is there any way to treat, or reduce the size of a brain stem cavernoma with diet or supplements?

Is there any way to treat, or reduce the size of a brain stem cavernoma with diet or supplements?

Unfortunately, no: Brain stem cavernomas can present with a variety of symptoms but may not need to removed unless they cause compression of the brain stem or have multiple bleeds. Surgical excision is the only known effective treatment of these lesions. ...Read more

36

36
In messive barin hemrraige can upper brain stem recover with time passing? Age 73 person is in coma blood desolving

In messive barin hemrraige can upper brain stem recover with time passing? Age 73 person is in coma blood desolving

Pressure effects: Bleeding into the brain produces severe pressure effects that can damage the brainstem. The blood itself can dissolve and go away, but the brain damage remains. Some recovery may occur, independent of what happens to the blood. Recovery from coma may be very slow and hard to predict. The primary doctor should be able to help you understand the prognosis. ...Read more

37

37
I have had an aneurysm on my brain stem which was repaired with an aneurysm clip, can you still get more aneurysms later?

Sometimes: Most cerebral aneurysms are congenital in origin and rarely multiple unless you have an underlying genetic condition. If they did a full angiogram in the past, they would have looked at all the vessels. If they did not, you should get one. Smoking is the biggest risk factor for developing cerebral aneurysms. ...Read more

38

38
They said I have fluid in my brain stem that's why I see double vision and speech problem but did I get fluid in my brain stem?

They said I have fluid in my brain stem that's why I see double vision and speech problem but did I get fluid in my 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. ...Read more

39

39
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.

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

40

40
My left side of my brain stem is being slightly pinched. Chiropractor is working it out over a few visits. Any other suggestions on what to do?

My left side of my brain stem is being slightly pinched. Chiropractor is working it out over a few visits. Any other suggestions on what to do?

Are you kidding me?: That's the most outrageous claptrap I've heard in a long time. As a neurologist, I'm here to tell you: If your brainstem really WERE being pinched, you wouldn't be at a computer, & a chiropractor couldn't "work it out." You'd be in an OR & a neurosurgeon would be cutting a hole in your head to go in there & do his best to save your life. Your brainstem is FINE. That is quackery with a capital Q. ...Read more

Dr. Alan Patterson
2,219 Doctors shared insights

Bleeding (Definition)

Bleeding = ...Read more