Doctor insights on:
Brain Stem Ischemia
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?
Ischemia is a symptom in which a person does not have enough blood supply to a part of the body, making that part of the body "ischemic". For example, in a heart attack, a coronary artery is blocked so blood cannot get to the heart muscle beyond the blockage point. The heart muscle lacking ...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
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
Need to know: what you mean by accessed? Vascular structures can be treated with microvascular techniques, but everything else requires open surgery. ...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 moreSee 1 more doctor answer
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
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