Pontine Stroke: Causes, symptoms, and best exercises
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- Опубликовано: 6 ноя 2021
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Like so many of you I had a stroke too I had a pontine stroke on my right side of pontine which affected my left side movements and especially walking stay strong and motivated ❤we will get through this 💪
Absolutely wonderful, your teaching and dissecting of a pontine stroke. 8 1/2 years into my stroke and you are the first I've seen that goes so in depth. First video I have viewed of your teachings. Oh how you I wish I was your patient from day 1. So informative.... thank you!!!
I was not told what type of stroke I had, but everything you have described, including the long term hypertension and uncontrolled diabetes is exactly what I had, as well as facial and eye muscle weakness and mild swallowing difficulties. I learn more here than I did after 30 days in hospital/rehab. Thank you.
Fuck (most) doctors, besides the ones who care ofc
Same here I has high blood pressure diabetes after stroke have eye and facial muscles problems at ataxia problems with Balance
How you doing now I believe I had pon stroke too from what is said please advise next step if possible 4:54 if it was not for
eye I could deal with this 5:31
You have told me more than anyone about my stroke. Thank you ❤
My problem is motor movements, the patient next to me is partially affected by the pons, he spoke very little. There was no speech therapist so I spoke to him often, at first slowly and repeating, later short questions to answer me and he progressed pretty well. The effort often pays off, and the pleasure of helping someone is harder than me.
Darko! I have picked up on the fact that you are a natural helper and problem solver. 😊 Your roommate is lucky to have you. Not many would take the time to put aside their own struggles to help someone else. And of course I always appreciate the helpful articles 😉 Glad you are part of this community. Have a great week!
I tried to find the video you mentioned about a brain stem stroke. My husband had an aneurysm (large dilation in his case) in his basilar artery that developed a clot. TPA treatment was not as fast due to access to a CT. He initially was able to move hands and feet both sides but lost that during the first day and is now locked-in. He answers us with eye movements. Yesterday, my son saw him move a leg so worked with him and he did it twice more though he told my son that it was hard. I tried that night and he couldn't until later I happened to me holding/squeezing his knee and his leg moved. He said he knew and he intended it. We feel very much in a tight squeeze here in terms of expectations and trying to prove that we should keep trying. We'd very much appreciate content/advice on his situation. We do realise that it's not a great one.
Thank you!
This video was very helpful for me as a physical trainer working with a gentleman who just had a pontine stroke. Thank you!
Thank you! I had a pontine stroke and it is so difficult to find quality, specific information. Vestibular and vision therapy have been very helpful! Thank you!
Hi Kim! Thanks for watching and for sharing your story! Yes, vision therapy is excellent.
My wife before 6months Pontine hemorrhage
I love the idea of covering different types of strokes. Thanks!
Yay! I am taking requests. :)
Hello Dr. Tobias. Hope you're doing well. I had a brain stem stroke by hemorrhage. These exercises are great. This type stroke seems to have the same symptoms as my brain stem stroke. I have followed your guidance for 3 years now. I still have some sensory challenges in my right fingertips. But I owe just about all my accomplishments to your guidance and look forward to every video you put out. Thank you for all you do!!! Have a great week!
Teresa, you are one of the reasons I stay motivated to keep teaching :) If I had any part in your success, I have accomplished what I set out to accomplish. 😊 As far as "brain stem stroke", the pons is in the brainstem so you will see a lot of similarities. However, when I hear "brain stem" versus "medulla" or "pons" it usually means there are a few additional symptoms. That is why I plan to make a separate video for this. Do you happen to know what artery ruptured? I might even break it down by artery. I have not decided yet. If you know the artery and you do not mind sharing, please let me know! Again, i can't thank you enough for taking the time each week to comment and share how the videos are helping you. And to know you have been around for 3 years. I appreciate you sticking with me. I know it was a little rough in the earlier days 😂 Anyway, Have a great week!!!
@@rehabhqofficial Hello Dr. Tobias! I am sorry that I am just now responding to your question. I, unfortunately don't know the answer to your question regarding the artery. In fact, I thought that the stem only had one artery. I do wish I could offer more. Thank you for your kind words in your email. I look forward to all your videos but can't wait to learn more about brain stem strokes. Have a great week.
Do you have any best physio for pontine bleed please
@Rehab HQ What about me? I had a stroke last year. I dont know if it was Pons or stem.
Hello dr how long to recover
Hi I had a bleed from an Avm in the brain watching your video helped me a lot and still recovering nine years on thank you very much.
Thank so much.
This is so very helpful.
Thanks very much I'm so glad to know a more ideas 💡 how to improve myself and more exercises how to make a more improvement.
I had a posterior inner capsule stroke. Balance and hemiparesis and sensory problems. A lot to deal with, I gain a lot of benefit from your exercises as I need a home program.
You're back!!
Hi Glen! Great to see you this week!
Lovely and very educative video.👍👍👍
Hello Dr Tobia thank you very much for helping us through your video
Hi Hanna! Thank you for watching. I hope it will help you!
I was told I had an massive ischemic stroke, but not told where. This was a great video, and answered a lot of questions. Much thanks. I have resistant htz for almost 30 years and was shooting Lantus (100 ui) before going plant based.
Kyle did you find that you had to get your own information,?
In the same neighborhood, a hemorrhagic stroke in the thalamus. One professor of neuroscience did say that although we lose many of these pathways in the brain permanently due to stroke, signals can be rerouted and redirected and healthy nerves can sometimes be trained to perform more than one duty, just not as reliably. And we do grow new nerves. As many as ten thousand a day! Unfortunately at my age we normally can lose around a million a day. Seriously, who counts these things?
Quite fortunate & happy to have survived this long. I come here to listen to your positive approaches to rehab, Dr. T. It's infectious. You're constantly teaching us to adapt and accept incremental improvements, and it's been transformative for me. I start each day slightly overwhelmed with great projects I love working on crying out for more time and attention.
Here's a simple one. 😁Daylight savings time! Turn the clocks back.
Very informative thank you
I had a pontine stroke as well. It's hard as hell to recover but I'm improving. I'm videoing my progress. Luckily every month I improve
Are you walking? My dad just had one =(
@djmarcanjelo yes I walk but I need a walker. Can't walk by myself yet. How is your dad?
Thanks for sharing... yes... I do the problem...
thank you so much for putting this all out for free on this channel. We had sub-par neuro instruction in my PT program and this is really helping me bring up my weak points for patient treatment.
My Stroke was Pons….apparently 60%…..ya it’s scary …I’m number 5 in a family of Hypertension…but I never understood it or was taught about…My Doctor said I have White Coat…not so…it was Hypertension, up n down…I was in good shape..but fooled….in the 2 years I have done well…left side is trying with a little movement…
I can walk with a walker n Brace….next goal open my hand….I just got my Urias Inflatable hand splint…Wonderful…🥳💅🏾
Thank you again for the education…I have learned more from you then any other Health Professional.
Hello
Thanks!
Thanks a lot
Hi Dr Tobias. I've pontine bleed on the right side almost 4 yes ago. Appreciate if u can create a video like u have done for pontine stroke. I've been enjoying the videos u have been creating. Thanks again
My mums just had a stroke here, she's breathing on her own but not regained consciousness yet please pray for her ❤
Thank you the information was very helpful my wife had a Pontine stroke two months ago this will help me help her
My wife also 6 months ago Pontine hemmorage
@@teg8408 how is she now
After how many days she gained consciousness?
My husband had pontine hemmorage , and is still in coma 7 weeks now, how long does it take for them to come out of it??
I am caregiver of my brother in Pakistan who is left sided hemoplegic due to stroke. Although your videos are excellent but often they require assistive devices which are not available here. Therefore I will appreciate if you can show exercises which can be done without the help of assistive devices.
A very useful video. Can you suggest some exercises specific for cerebellar ataxia?
Loved this video i was told my stroke occured in the part of my brain with loads of veins in England we have a Motorway called M6 that supplies other motorways not sure if that helps
That 😢would be me all the symptoms good advise
Plz do more videos on pontine bleed!
U r good.
Good day Dr Tara, I have been an active member of your channel since January Always Following your routine and I have experienced tremendous changes which have made my physiotherapist also subscribed to your channel. Please would be glad if u could give more insight into What could cause a Carebral cavernoma? As I had a left side stroke after the surgery November 2020. Also had a seizure in September which have caused a relapse in my physiotherapy progress.
Good luck with your rehab. God bless you.
Thank you,, thank you dr. Tobias. Finally you have talked about the pons. As you might I had in februari 2017 my brainstem stroke. I was always good to my body. I had in beginning on my left side of the brain, very much pain. During my sleep on my couch, when i wake up, i could not move my body at all. de stroke was a fact . The ambulance personel, thought that is was something with my blood level, but that was always oke. They did nmot know what happened to me. My left side was paralyzed. I had only pain in my left head.
I too was asleep and awoke having a pontine stroke it affected my left side stay strong we’re survivors😊
Mine was called acute ischemic stroke in the medulla. My symptoms are very similar to what you described for the pons.
Hi Rhonda! Thanks for watching and for sharing. Yes, medulla and pons will have similar symptoms. 😊
I’m always amazed by the different types of strokes and how each experience is different because it occurs in different parts of the brain.
I had an AVM (arteriovenous malformation) brain bleed that caused my stroke. I always heard it described as “tangled vessels” that I was likely born with that ruptured just after my 49th birthday.
Before the cause was determined, the location was described this way in a report: “Large left posterior frontal intraparenchymal hemorrhage …”
Thanks for asking. 😊
High Randy! great to see you! Thanks for sharing your story. Yes, "tangled small blood vessels" is a good description 😊
Wow a lot to take in at first I bet
hi i'm a fresh grad PT and i hope if you could talk more about any advances in equipments or devices used in neurorehabilitation
This video is useful. I have pontine haemorrhagic stroke on the right side. Any additional exercises that can further help me
Thanks for watching and for sharing your story! Mind need to do a part 2 😊 Stay tuned!
@@rehabhqofficial dear Tara. Your presentation is always so clear. Allows us patients to grasp your explanation easily. Cheers. You are the best
Thanks for your video. Have you heard of PBA with pons? I was in Italy @ 2 years ago and they said I had it in 2 different parts of my brain, I got to the US in 9 days and they said only the pins. For a mild ischemic stroke, this limbo, inconsistent stroke, it's been a challenge.
Thank you for sharing! PBA is a symptom of some other medical condition. And yes, stroke can be one of those "underlying conditions".
For the time I learned exactlly what happen ui ponti e stroke. Great. Any lay pt can xomrehend
What about stroke in Basal Ganglia....please make on that also and suggest exercise and symptoms also. Please suggest also about regaining sense on limb
Hello,nice video but I have a question ,what it the best advice for a friend who had a surgery for tibia and fibula fracture for the second time because he had a problem with the first one(the plate broken after 1 year after surgery).
What exercises do you recommend to keep your eyes open
Do you offer a program that people can participate? We live in northeast Florida & would love to work with you!
🏆🏆🏆👍🇺🇲🙏
Thank you for sharing
Hi Dr. Mark! Great to see you this week! I hope it was helpful :)
Oh! My case,
thank doctor, very usefull with me
i like video with sub title cause i;, foreigner
Is it possible to have had this type of stroke; or this area(pons) affected if there is significant change in feeling or sensation to certain areas?My left side is certainly paralyzed; but I am slowly getting back sensation in areas on the left, but even light touches are very painful. Not sure if this makes any sense. Always great to see your perspectives,Tara.thank you!
Great to see you this week! This series of videos is going to be a little bit different. To get the most out of these videos, it is best to know what area of your brain is involved. In most cases you can request your MRI report. I try not to ever assume it is a certain area based on symptoms. Again, these reports are pretty easy to get.
@@rehabhqofficial Thank you; I have not been quite sure of the areas with damage; I suspect more than I truly know.Appreciate your time and advice!Many thanks!
Occupational therapists are supposed to be expert on the subject matter of lifestyle modifications ie find out reasons for those poor habits and ways to motivate them into a direction of change
Did you make a brainstem stroke video? I know my pons was damaged i had a avm in my pons and I do have hbp ataxia dysarthria hemiparisis arm and hand weakness
Dr. Does daily consumption of Vit C supplements protect from a stroke or restroke if already have one. I had one in 2020
What parameters are you using for BP during your sessions?
Hi Dr Tara can you talk about basal ganglia internal capsule stroke. Thank you I have balance problems and hemiparesis on the right side
Hi Chad! Yes. Anything in particular that is confusing about your symptoms? Or something you would like me to explain? It’s another pretty common area for a stroke. So I’m sure there are others who will find it valuable :-) thanks for the suggestion!!
@@rehabhqofficial really hard to two things at once especially the arm and hand if I try to do something else the arm just drops off or I try to do something with my affected arm my affected leg start going wrong
My stroke is on the right side if internal capsule. I hope u can discuss and give me activities to improve my recovery effort
I'm 39 years old now, I had a stroke almost 3 years ago while the dr was ambulizing my avm, which is located on the right side of my brain, close to my motor cortex. He said that the glue spreaded which caused me to suffer a stroke close to my motor cortex but not in my motor cortex. I have weakness on my left side. My main concern is my hand and arm. I've been in therapy for almost 3 years but my hand is significantly weak. My fingers give me the most problems. I have spasticity in them, but I get botox in my arm and hand. I have a personal trainer as well. I'm trying my best to regain movement in my hand.
Thank you so much for sharing this! This is a unique "cause" of a stroke. I have actually never heard of this happening (glue spreading?) during an AVM embolization. With that said, Your symptoms are consistent with a stroke/clot near the motor cortex. DON'T GIVE UP ON THAT ARM! The arm recovery is very slow. Once you stop, that spasticity will get worse and make regaining arm and hand movement more challenging. Everything you are doing (botox + therapy) is the best "formula" at this current time. Hopefully you also have a hand splint. If not, and you are interested in investing in one, please email questions@rehab-hq.com and in the subject line put "splint interest". 😊
@@rehabhqofficial hi, I've recently purchased the hand splint from you and I was wondering if you have a video on the hand splint and different exercises that you would recommend. And also I'd like to know if you could sleep in it. I noticed that my fingers hyper extends while using the splint. Is there some type of cusion you would recommend?
I had a left pons i hope this will help since I'm to weak to walk
Would you do one about strokes on thalamus ?
in 2021 i have the following finding in my MRI brain (encephalomalacic focus along the pons is noted and white matter foci) in my follow up MRI brain in 2022 the following finding (two pontine foci of csf and the white matter foci) but the doctors always giving me anti depressions medicines would you please doctor tell me what is my case ?
Mam my son had a pontine stroke last year and suffered quadripaeresis. He is now able to walk but has his trunk and hip are tilted on his left side(stronger side) while walking due to which he is not able to balance properly.please make a video on how to correct it. Also he twist his hip in opposite direction to the leg that he lifts which cause opposite twisting of hip while walking and shorter stride.Mam can you please make a video on it
Hello doctor
My father had an accident and Doctorow say he had pons injury , his whole body was paralysed, but now he has recovered a lot , his speech was also gone , doctors used tracheostomy .
Now his left side is working much better as compare to right side , but he is still not able to speak clearly .
What do yo suggest .
Dr. Tara is your ankle night splint back on market … i know it was sold out in april
Thanks for asking! Unfortunately no. I lost my manufacturer and sold out of my original stock😞 still trying to find a new manufacturer.
Hello dr. Tobias I had a large hemorrhagic stroke in my basal ganglia on the left side of my brain. All over the right side of my body I can feel and see my muscles moving and sometimes a lot of vibration feeling under my skin. It seems every day I can feel more and more sensation returning. First it starts as a stinging sensation and a week later or so I can move something better and feel my feet or my back or whatever better. My doctor has told me my nerves are regenerating. Ever heard of this before?
Hi David! Thanks for watching and for sharing! I think it is positive that you are feeling more!! Keep going!!
@@rehabhqofficial thank you very much. Keep the videos coming👍
My husband had a pontine bleed & c/o his body feeling heavy.. is there something we can do to eliminate that.. he is learning to balance himself & he can take some steps with assistance
Hi my brother has pontine bleed and he’s unconscious since 60 days any best physio please thank you
Hello , how is he now?
For 10years now
I h a ve a mass in the back of my head from the top of my head to the bottom of my head I also have lots of pons in the ba ck of the brain. I'm wondering whether that causes the headaches
İ had frontotemporal to basal ganglia damage but alive and disable, ve i think dying was more optimal solution
Right side basal ganglia(sp) Left side affected. In month 6. Getting very hyper sensitive on the Left but I also suffer from adhd-I have sensory issues, hyper-mobility and dyspraxia-which makes this all confusing.
Thanks for watching and for sharing! I see lot's of people mentioning basal ganglia. That will most likely be the next video :) Stay tuned!
My best friend had one 9 days ago they said it was the worst pontine stroke she is paralyzed on a trach I know its eary is there any good reference I can pull up to do anything I can to help her . Thank you
I was just diagnosed with NMOSD the neurologist believes this triggered my 2nd stoke in the pons area the first was a accident related stroke
I would a video about how to bend a stiff leg.
Thanks for the suggestion. Did you see last weeks video? Anything different you would like me to add on this topic?
My bleeding point was between respiratory. Cebter and cardic. Center. A pin head size bleeding
Partiially healed
Still I am using a walker
Walking balance is the issue
Please explain what Ishould do.
Hello, how much days it took you to gain consciousness
if i've had a pontine stroke, would a 2nd stroke be 'likely' to happen in same area? is inability to deal with weather changes (heat) a factor of a pontine stroke?
Hi Paisley! Thanks for watching and for your question! I do not know if it is common to have a second stroke in the same area. As far as your second question, I can't say I have heard this complaint. However, I live in Florida and our temperature is pretty consistent.....hot. :) So that might be why I do not hear this complain :)
@@rehabhqofficial ty. i tried the eye movement exercises you mentioned and many of them were new to me so thank you for that! i want to keep driving as long as i can and i know how important the eye movement is to that :))
I'm in Florida and fine with the heat, but colder weather is awful! Somewhat paralyzing!
@@wendieent8365 well then it's good you're in Fl right? :))
Mam my had pontine stroke basilar aretry clot plz help
Is it on the right side
Pineal [sp] area, I think. Our hospital is not very good. There is no Neurologic Dr. close at hand. ie 3 hour drive time. Also no Therapy Dr.
Thanks for watching! This is very interesting. What type of symptoms do you have as a result of your stroke?
@@rehabhqofficial Reduction of all motor functions on right side of body. Trouble walking , arm movement, feeding, grooming, bathing. Basically every thing involving right side. And I was/am VERY right handed.
They say I have MS since I was 25 and I think I had a stroke a while ago because I was getting so mad because I had been crawling for 4 years and I'm 52. I literally think I had a stroke when I fell into my face one night. after that I couldn't lift my arm up. And I'm constantly peeing which is really f***** up. Yes I said the f word because I'm still pissed😁
I worry about a 2nd stroke
I had hyper tension eyes are the biggest .need prism glasses
I’m dyslexic and though it said POUTINE stroke, which only Canadians will get.
Good gravy, that's a cheesy joke.
@@KurgansDad sorry, I’m French...and was a little fried when I wrote it.🥔🥔🥔
They decided not to operste. Too big of s risk
Those "jump cuts" are annoying.
Pons stroke
Im tskibg ownership of my thrrsçx i knoe whst mc bofy needd i might film it do ççl csn see whst we go thru daily its not easy but the psin eilk ve wirth a sucxessful outcone! Ive had 4 nruincludingcteo orthopedic specislist! My. Rsin to body conbection nit here s ymore! This eas my fourth stroke luck to br slive at thus poibtnot seen s csrdiologist at akk