Q. Are these symptoms connected with Brainstem Lesions?

Answered by
Dr. J Mariano Anto Bruno Mascarenhas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 24, 2017

Hi Doctor,

Around eight months back, I had a strange numb feeling in my nose. I ignored it because I had three abscessed tooth on my left side and I thought the numbness was due to that.

It gradually went away and I forgot about it. Last month, my daughter fell sick and I was going through some extreme stress. I started getting the numb feeling again and now it is up to my left temple. There is a pressure from my nose to the left temple with numbness and sometimes tingling. Then suddenly a tinnitus set in my left ear, a loud high pitch. Also, I had a strange burning tongue symptom.

I got scared and went to an ENT. He took a hearing test and told me that I did not have any hearing loss. He blamed it all on my abscessed tooth and said to go to the dentist. I have got all the three teeth pulled out. I was given intravenous and local anesthesia as well during the process. After recovery the tinnitus has not gone away and the sensations are becoming worse and weird day by day.

My problems are as follows:

  • Numb sensation in my nose to my left temple,
  • tenderness of the scalp,
  • burning on the left side of my mouth and tongue,
  • dull pain on my face,
  • very sensitive to touch and the same in both ears,
  • jaw seems still a bit inflamed,
  • strange itching sensation on my face, eyes, legs, arms, etc.,
  • strange pressure in the ears,
  • shakiness,
  • chilly feeling and weak legs and arms at times, especially at night and the pain in my neck and shoulders.

Tooth healing has gone well. These symptoms are weird and appear on and off.

I am confused. My doctor says that I got anxiety, but I am feeling these physical symptoms. My neurologist has told that my MRI is normal. He also ran a test to rule out carpal tunnel and nerve function in my hands and legs. One of my legs has reduced sensitivity. He has prescribed me some medicines and I am not happy with his approach. I am really scared of these symptoms. Please help.



Welcome to icliniq.com.

I have read your question with care and understand your problems.

All your symptoms can occur in brainstem lesions. Many lesions in the early stages may not be identified by routine MRI sequences.

You have to do the following tests:

  1. MRI - Diffusion and ADC (apparent diffusion coefficient).
  2. MR tractography.
  3. PET scan to find the metabolism of the brainstem.

The symptoms you have narrated can also occur if there is reduced blood flow to the brainstem. This condition is called as vertebrobasilar insufficiency. This may be detected by CT angiography of brain, MRI angiography of brain and DSA (digital subtraction angiography).

Also, the symptoms you have told can occur as a part of a systemic problem like low blood pressure and anemia.

Low blood pressure (hypotension) can be checked by measuring your BP and anemia can be confirmed by checking your blood hemoglobin levels.

The Probable causes:

1. Brainstem lesions.
2. Vertebrobasilar insufficiency.
3. Low blood pressure.
4. Anemia.

Investigations to be done:

1. BP check.
2. Blood hemoglobin.
3. CT angiography of brain.
4. MRI - Diffusion and ADC.
5. MR tractography.
6. MRI angiography of brain.
7. PET scan to find the metabolism of the brainstem .
8. DSA.

Regarding follow up:

Revert back with the reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist

Was this answer helpful?


Related Questions:
I am suffering from low blood pressure after C-section. How to deal with that?

.. by you, a cesarean section has been done for you a week ago and during the operation, your BP was on the lower side. I would like to tell you that amount and volume of blood in a mother increases significantly during pregnancy to support the nutr...   Read full

What causes sudden dizzy episodes that last few seconds?

.. your question and would explain that your mother symptoms seem to be related to an inner ear disorder.There is nothing to worry about, as her situation improved with Zevert and Vertin once.For this reason, I would recommend starting again Zevert (...   Read full

I have burning sensation on my arm. Does this sound like MS or anxiety?

Another possibility is a neuropathy due to vitamin B12 deficiency which could be tested on a blood test ...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

I have low blood pressure and heart rate with palpitations. Kindly help.

Query: Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate.  Read Full »

How to understand the reason for my giddiness which happened some time back?

Query: Hi doctor, I was admitted to ICU in a hospital with below conditions at night 4 AM. BP 90/60 mmHg, temperature afebrile, PR 80/min, CVS, R and PA NAD, giddiness, started generalized itching and nausea. There is no history of headache, visual disturbance, weakness of limbs and bowel and bladder distu...  Read Full »

Vertigo: Symptoms, Causes and Treatment

Article Overview: Vertigo is a sensation of dizziness or a feeling of being off-balance. It is caused by a variety of conditions. Read Article

Dr. Manu Wilfred
ENT Otolaryngologist

When a patient has vertigo, he may use different terms to describe his sensations like dizziness, feeling faint, head spinning, giddiness, or unsteadiness of gait. Usually, a careful history can differentiate between these symptoms. It is important to distinguish between presyncope (fainting) and ve...  Read Article

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.