Brain stem stroke syndrome
ICD-10 G46.3 is a billable code used to indicate a diagnosis of brain stem stroke syndrome.
Brain stem stroke syndrome refers to a group of neurological deficits resulting from ischemic or hemorrhagic events in the brain stem region. This area is critical for many autonomic functions and motor control, and strokes here can lead to severe impairments. Symptoms may include dysphagia, dysarthria, vertigo, and ataxia, as well as cranial nerve deficits. Transient ischemic attacks (TIAs) can precede a full-blown stroke, presenting as temporary neurological deficits that resolve within 24 hours. The brain stem is particularly vulnerable to ischemia due to its vascular supply from the vertebrobasilar system. Stroke prevention strategies are crucial and may include lifestyle modifications, antiplatelet therapy, and management of risk factors such as hypertension, diabetes, and hyperlipidemia. Understanding the clinical presentation and risk factors associated with brain stem strokes is essential for timely intervention and rehabilitation.
Detailed neurological examination findings, imaging results, and risk factor assessments.
Patients presenting with acute onset of neurological deficits, TIAs, or post-stroke rehabilitation.
Ensure comprehensive documentation of all neurological signs and symptoms to support coding.
Accurate recording of initial assessment, imaging, and treatment provided during the acute phase.
Patients presenting with sudden onset of symptoms suggestive of stroke.
Timely documentation is critical for coding and treatment decisions.
Used for patients presenting with acute stroke symptoms requiring immediate intervention.
Detailed history, examination findings, and treatment provided.
Emergency medicine specialists must document the urgency and severity of the condition.
Common symptoms include dysphagia, dysarthria, vertigo, ataxia, and cranial nerve deficits. These symptoms arise due to the involvement of the brain stem in controlling vital functions and motor control.
