Doctor insights on:
Brain Stem Compression Symptoms
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?
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
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
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 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
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
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
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
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
Injury to RAS: Because of injury to the neurons and pathway of the reticular activating system that is responsible for consciousness. ...Read more
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
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
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
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
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
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
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
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
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
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
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
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