Can you have residual head pain or numbness after a stroke?

1 answer | Last updated: Oct 23, 2016
Maller asked...

After a stroke, I've heard of numbness and paralysis of limbs. However, can the actual area of stroke within the brain feel numb or paralyzed? I had venous stroke in the right occipital area due to a venous anomaly and still have this numb feeling with sharp headaches daily. No other problems.

Expert Answers

James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.

This is certainly possible. Venous strokes are much less common than arterial strokes, and have their own set of symptoms. Headache is very common, and it does not surprise me that you have local numbness in the area of the stroke.

It is not entirely clear to me based on your description if you suffered a venous clot from a tight artery that clotted, or if you have something called a "developmental venous anomaly". The treatment is quite different for the two problems. The first involves thinning the blood and possible consultation with an Interventional Radiologist. The second involves a discussion with a Neurosurgeon regarding the possibility of removing the "DVA". In either case it is not outside the realm of possibility to be suffering from both headache and numbness in the area.

Good luck!