Aa
Brainstem?...or something else
Ok for about a year now ive been experiencing left side subjective heaviness in arm and leg(i say subjective because on exam no weakness is detected)and at the same time tingling on the opposite side (right side)in lover cheek area.....Now some times ill wake up......and the heaviness will completley switch to the right side...Nero said no to TIAs...but ive fpund articles online ..which state that...Brainstem ischmeia and also in PONS area ....can switch and thats a clue....is it possible this is happening everyday....anything else that could cause something like this..MRA showed normal flow to brainstem...but i understand its not very accurate...what should i do now
my husband was diagnosed last year with a cavernous avm in his
brainstem, and we are wondering what ways he can over come the
anxiety,and lasting symptoms,his neurosurgeons said because of
the location it will just take time. He has made some progress
but still has some lasting problems. Any advice???
brainstem, and we are wondering what ways he can over come the
anxiety,and lasting symptoms,his neurosurgeons said because of
the location it will just take time. He has made some progress
but still has some lasting problems. Any advice???
symptoms in the face on one side and on the limbs on the other, if due to structural neurological disease, loaclizes to the pons region of the brainstem (although unusual to be just the lower cheek). However it is unlikely to intermittently switch sides
It is true that a switching hemiparesis can be a sign of impending brainstem stroke - but this usually happens in teh acute setting, not over one year. The MRA if normal if fairly relaible - questions are when the MRA is not normal that it is not so accurate. In the setting of a normal MRI, somatosensory evoked potentials and brainstem auditory evoked potentials can help provide evidence of structural disease.
If the blood vessels are entirely normal, your doctor may have to evaluate for other conditions with perhaps a spinal fluid analysis or further blood tests for Lyme, sarcoid (these are rare conditons and the yield is probably low)
Good luck
It is true that a switching hemiparesis can be a sign of impending brainstem stroke - but this usually happens in teh acute setting, not over one year. The MRA if normal if fairly relaible - questions are when the MRA is not normal that it is not so accurate. In the setting of a normal MRI, somatosensory evoked potentials and brainstem auditory evoked potentials can help provide evidence of structural disease.
If the blood vessels are entirely normal, your doctor may have to evaluate for other conditions with perhaps a spinal fluid analysis or further blood tests for Lyme, sarcoid (these are rare conditons and the yield is probably low)
Good luck
Just a suggeston, Try taling a large dose of vitamin B12, about 100mcgs. It can't hurt you. It only help people with neuro symptoms. See if you notice any differnec after a week.
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