The symptoms of a brainstem stroke can vary widely and may include:

​

• Difficulty with vital functions such as breathing

• Problems with chewing, swallowing, or speaking

• Weakness or paralysis in the arms, legs, and/or face

• Loss or alteration of sensation

• Hearing loss

• Vision problems, such as double vision

• Vertigo (a sensation of spinning while not moving)

• Locked-in syndrome (a rare condition where the person is conscious but unable to move anything except the eyes)

• Coma

​​

⚠️ Stroke is a medical emergency. If you or someone you are with shows signs of a stroke, call 999 immediately.

 

Diagnosis:

As brainstem stroke is a medical emergency, doctors will aim to make a quick and accurate diagnosis using several tests, which may include:

​

• Neurological examination – assessing brain and nerve function

• CT scan – to detect bleeding or blockages

• CT angiography – to view blood vessels in the brain and neck

• MRI scan – to create detailed images of brain tissue

• MRA (Magnetic Resonance Angiography) – to assess blood vessels

• ECG and echocardiogram – to evaluate heart function

• Doppler ultrasound – to examine blood flow in arteries

• Blood tests – to check for clotting issues, infection, and overall health

• Oxygen level measurement, and kidney/liver function tests to guide treatment

​

​