Cerebellar stroke experience, treatment, recovery - want to dialogue

I suffered a Cerebellar Stroke in Dec 2015 in my 40s and am interested in connecting with other cerebellar stroke survivors to share our experiences, testing/therapy options, struggles on the path to recovery.

Interested in more discussions like this? Go to the Stroke & Cerebrovascular Diseases Support Group.

Hello @bille

Here is a recent discussion on Connect that you might find helpful before your appointment at John Hopkins. It is suggestions for how to get off to a good start with a new specialist. Some of the pointers are really helpful.
https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist/

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

@bille

It sounds as if you have some good goals for your appointment and that is important. You can make the most of your appointment time.

Are the cognitive problems your main concern or are there other physical limitations you would like to address?

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Mostly cognitive. I do have some physical issues. I have urge incontinence, I still get dizzy if I turn my head, stairs still scare me. The cognitive are more subtle but probably impact my life more than the physical issues. Overall, I am very lucky. The fact that I recovered as well as I have so far was luck. The stroke could have had a far more profound impact on my life. So I know I am lucky, I just wast to get the most recovery that I can.

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Profile picture for bille @bille

Thanks I will post once I get done. My understanding is the report will be several weeks after the testing. I will post about the process as well as the results. I have several concerns I hope I can find guidance on. First, Long before my stroke, I had CRPS on my left side. This resulted in nerve damage that is treated by Lyrica. Lyrica can cause some cognitive issues. Secondly my mother had dementia. We are not sure exactly what age she was when she started to get it. She was very good at covering. Lastly, I want to have a benchmark of where I stand cognitively. Then I hope I could always be retested in the future to see if anything is changing for the worst.

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@bille

It sounds as if you have some good goals for your appointment and that is important. You can make the most of your appointment time.

Are the cognitive problems your main concern or are there other physical limitations you would like to address?

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

@bille

I hope you get some good help at John Hopkins. Here is some information from the National Stroke Association regarding strokes as well as support groups, just click on the link,
https://www.stroke.org/we-can-help/
You and your husband might find it helpful to read through the website and become familiar with the information provided there. There is also a way you can input your city and state and find support groups. Support groups will help you realize that you are not alone, much like here on Connect.

I look forward to hearing from you again. Will you post an update after your appointment?

Jump to this post

Thanks I will post once I get done. My understanding is the report will be several weeks after the testing. I will post about the process as well as the results. I have several concerns I hope I can find guidance on. First, Long before my stroke, I had CRPS on my left side. This resulted in nerve damage that is treated by Lyrica. Lyrica can cause some cognitive issues. Secondly my mother had dementia. We are not sure exactly what age she was when she started to get it. She was very good at covering. Lastly, I want to have a benchmark of where I stand cognitively. Then I hope I could always be retested in the future to see if anything is changing for the worst.

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Profile picture for jmjlove @jmjlove

Bille, could you explain the cerebellar tremor for me. I have always called the shaking in my left side, especially and mostly when I attempted to do a task, small things, like removing money from wallet, carry a drink, hold a paper plate while using right hand to put food on, always referred to this as a palsy.

This out of control shaking did not appear until a month or more after stroke. It just appeared. I was scared thinking I may have had another stroke without realizing it. It is uncontrollable and annoying as heck, mostly shows itself when using left hand to do little things. Also have tremor throughout left side when simply trying to stand still. What's up with that???

Anyone have any idea what makes this happen? I think another poster besides us has mentioned this. Would love to know more about this nasty clingon.
Thanks 🙂

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One of the neurologists I saw had me touch his fingertip with my fingertip as he moved his hand around randomly. When trying to do this with the side that had the stroke, my left, as my finger approached his finger it would start shaking, searching is how the neurologist called it. I do notice that I have a tremor more when tired, but that would be the same as most of my symptoms. There are some Youtube videos describing this better than I can.

Hope this helps.

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Profile picture for bille @bille

A few months ago I had an MRI performed of my head at the request of my ENT. I had been referred to the ENT due to a significant loss of hearing in my left ear. What was found was a surprise. I had suffered a cerebellum infarct to my left cerebellum due to a dissection of the left vertebral artery. The stroke was not recent but after consulting with a doctor of the Inova Vascular and Vein Center and a Doctor of the Neurology Center of Fairfax, it appears that the stroke very likely occurred as a result of the ACDF surgery I had on June 7, 2017. After I woke up in the hospital room, I was at first able to walk unassisted however, later that night I began experiencing extreme vertigo, headache and projectile vomiting. This continued after I was discharged the next day. Once home, I was unable to walk unassisted, and fell and hit my head the first night home. My husband called the emergency number and was told not to worry it was just a reaction to the drugs. I was only able to walk with assistance. Gradually over the next few days I was able to start using a borrowed walker and gradually regained the ability to walk without assistance.

It was frightening to me that the stroke likely occurred while I was hospitalized. My General Practitioner told me that even if I had been taken to the Emergency room the first night I was home, they would have likely not diagnosed the stroke. Using a walker and a lot of support from my husband and friends I have recovered most of my physical abilities. I still get dizzy with certain motions. The vascular Dr. feels that this is probably due to the blood flow within the brain. I also have the Cerebellar tremor in my left side.

However, I have struggled to find Doctors that understand the Cerebellum. Most seem to still think it is only for body coordination. Nothing cognitive. I was finally able to schedule neurological testing at Johns Hopkins. This testing will occur the later half of March this year. I want to find a baseline of where I am now and perhaps be able to develop a plan for regaining some of what I have lost. Looking back over the last year and a half I can see changes in my cognition. My short term memory is shot. I search for words when having a conversation. Sometimes I forget a word even after using it 5 minutes before. Most of the time it is not like I have forgotten something, I just forgot how to access the information in my brain. I also have experienced depression.

I feel I dodged a cannon ball and didn't even know when it when it passed. Part of me is angry that the medical staff missed the signs. I spent much of the time since the stroke blaming myself for issues I was having. Hopefully, after the testing at Johns Hopkins I will have a solid plan for my recovery.

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Bille, could you explain the cerebellar tremor for me. I have always called the shaking in my left side, especially and mostly when I attempted to do a task, small things, like removing money from wallet, carry a drink, hold a paper plate while using right hand to put food on, always referred to this as a palsy.

This out of control shaking did not appear until a month or more after stroke. It just appeared. I was scared thinking I may have had another stroke without realizing it. It is uncontrollable and annoying as heck, mostly shows itself when using left hand to do little things. Also have tremor throughout left side when simply trying to stand still. What's up with that???

Anyone have any idea what makes this happen? I think another poster besides us has mentioned this. Would love to know more about this nasty clingon.
Thanks 🙂

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Profile picture for thinkitseeitdoit @thinkitseeitdoit

Yes that make sense. You never will be the same. You will be better. You dont need to think about the future. Just make it through each day.

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Thinkit, while I enjoy a positive attitude like you have and hopefully I have, not having read all your posts, I wonder if you had a large or small stroke. With some of us, we will NEVER be BETTER than we were, physically. That is just not possible. I may become a better person, emotionally, spiritually..and if that's what you mean, I sure do agree.

Looking at this realistically, many of us are disabled. Some of us have even lost the ability to correct our balance. If we stumble, we go down. When we are in public, well me anyway, I appear as though I've had one too many, lol.

This may just be me and I mean this personally and as my take, but when people would, God bless them, say things like...you will be better than before...it strikes me as saccharine and unrealistic. Actually somewhat irritating as I continue to spill my drinks, stumble and fall, drag my left leg when tired, and my hair looks like crap because my left hand is so dysfunctional it would rather wreck my hair than subdue it. Can't clasp a barrette, can't help my right hand get the job done.

If I am being silly or overly sensitive, I don't mind being told. Surely, I don't want to discourage anyone from encouraging, but, again, just speaking for myself here, when I am told that type thing, that I will be BETTER, I feel as though the bewildering event I experienced and am still experiencing is being downplayed and I am being placated instead of more realistic acceptance of the new me. When people respond with honest acceptance of where I'm at now, I find that somewhat consoling and satisfying.

Forgive my many words, but struggling to explain why I object to your kind, but maybe incorrect thought or approach to encouraging stroke survivors. Maybe I'm just messed and wrong headed. Please feel free to respond....and correct me. Still trying so hard to understand the new me.

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Profile picture for strokesurvivordynamo @strokesurvivordynamo

At 48 and relatively healthy, I didn't fit the typical stroke profile. I have great cholesterol, am a non-smoker, a casual drinker, I don't have uncontrolled high blood pressure, I'm not a diabetic, and have no family history of strokes.

If you're like me, you've read the Heart & Stroke material and watched the ads on TV. We've been trained that if you think someone is having a stroke, act FAST and do the following:

Face - is it dropping?
Arms - can you raise them?
Speech - is it slurred or jumbled?
Time - to call 911 right away!

My daughter thought I was having a stroke when it was happening and administered the FAST test - I passed it. I could do all of these things! That test works for the majority of strokes but not all. A cerebellar stroke, like mine, accounts for only 3% of strokes. MY warning signs didn't fit the profile.

Instead I had the Three Vs - Violent Headache, Vertigo, Vomitting. Any of these signs coming on suddenly without explanation, alone or especially together, are enough to call 911. Even if your symptoms go away, you need to see medical treatment as you could have had a TIA (mini stroke).

For every minute delay in treating a stroke, the average patient loses 1.9 million brain cells. That is terrifying! It was 4 hours before an ambulance was called to my home the night I had my stroke.

I had felt "off" two days before and paid my Doctor a visit because I felt so strange it worried me. I described it as "feeling like Alice in Wonderland and I didn't belong". I now know that sensation is called disassociation and is a sign of a cerebellar event.

My Doctor couldn't find anything wrong and said maybe I was fighting a virus. So when I suffered my stroke, my family thought I had a bug and checked on me every 30 minutes as I continues to battle the Three Vs. Not until I collapsed on the bathroom floor did they fear the worst and dial 911.

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Strokesurvivor, your story is well written, which I appreciate. I found myself within it. Alice in wonderland is how I felt then, and to a much less degree, now.

Two weeks before my stroke my cerebellar region hurt so bad, I asked my son if my eyes looked right. They did, so I just endured never dreaming I was on the cusp of a full blown, knock down, punch in the head, stroke. Before stroke my head had been hurting terribly, but I just figured migraines. Didn't seek help, had no balance problems or loss of control.

Funny, when the #$@# hit the fan, all hit me at once. And I knew it was a stroke. Was at hospital about 45 minutes later. No bleed so received tpa. Only immediate help it gave was my sight significantly improved by day 2. All deficits I presented with, came home with me.

FAST did not apply. The 3 Vs among other things were there. And stayed, but vomitting cleared up first 2 weeks. My limbs on left had ataxia. When I moved them, it felt as though they were gonna float away. Could not make them do what I wished, though they remained strong, just disobedient, lol. Impossible to walk, use left arm. I could think, talk, with little difficulty.

Besides headache, everything hit at once. Had a strange sound in my head at onset. Similar to celophane crunching in my skull. Did you experience that?

What exactly we're your deficits, if you don't mind my asking? How long before you felt somewhat normal? Was it a large stroke? Just wondering what life is like now. Sounds like you have loving support at home.I do hope so. No fun going through. Much worse, alone. Blessings!

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Profile picture for bille @bille

I have not had any therapies yet. I will be tested at Johns Hopkins March 22nd.

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@bille

I hope you get some good help at John Hopkins. Here is some information from the National Stroke Association regarding strokes as well as support groups, just click on the link,
https://www.stroke.org/we-can-help/
You and your husband might find it helpful to read through the website and become familiar with the information provided there. There is also a way you can input your city and state and find support groups. Support groups will help you realize that you are not alone, much like here on Connect.

I look forward to hearing from you again. Will you post an update after your appointment?

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @bille

I appreciate your contributions to our discussions on stroke. You must be very grateful that you have a correct diagnosis now and most importantly that you have a supportive family behind you. There are all types of therapies available (physical, occupational as well as cognitive) perhaps John Hopkins will be able to put you in touch of some of these therapies.

Have you had any of these therapies yet? When is your appointment at John Hopkins?

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I have not had any therapies yet. I will be tested at Johns Hopkins March 22nd.

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