Hemifacial spasm is a nervous system disorder in which the muscles on one side of your face twitch involuntarily. Hemifacial spasm is most often caused by a blood vessel touching a facial nerve, but it may be caused by a facial nerve injury or a tumor, or it may not have a cause.

Brainstem strokes can affect the facial nerve as it travels through the brainstem, causing facial weakness in the same pattern as that of Bell’s palsy.

The lower part of one side of the face is normally affected (the forehead is usually spared). However, the eye can be involved if the stroke is in the brainstem as the person will experience damage to the facial nucleus; which will present without forehead sparing.

Some stroke patients experience twitching in their affected muscles right before they regain movement, especially in patients with hemiplegia (paralysis on half the body). If you have been regularly participating in rehabilitation, then muscle twitching could be a sign of recovery.

Condition: Central poststroke pain (CPSP) is a chronic, painful condition that may develop following a stroke, generally in the same part of the body affected by the stroke. Background: About 8% of stroke patients develop CPSP in the weeks to months after incurring a stroke.

The main reason for you being tired is simply that you have had a stroke. In the early weeks and months after a stroke your body is healing and the rehabilitation process takes up a lot of energy so it is very common to feel tired.

The left side of the brain controls critical thinking, judgment, reasoning, and sequencing, therefore, having a stroke on the left side of the brain can cause someone to have varying levels of cognitive impairments. The left side of the brain controls all oral functions which include chewing and swallowing.

The majority of stroke survivors experience some type of pain for a period of time, but the pain usually improves with medical treatment and, after a while, the physical discomfort might improve sufficiently enough that medical treatment is no longer needed.

Cognitive symptoms like memory problems and trouble speaking. Physical symptoms such as weakness, paralysis and difficulty swallowing. Emotional symptoms like depression and impulsivity. Heavy fatigue and trouble sleeping.

If you continue to have arm problems, your healthcare team might try other treatments such as:

1. Constraint-induced movement therapy.
2. Botulinum toxin injections.
3. Electrical stimulation of muscles.
4. Electrical stimulation of the brain.
5. Motor imagery.
6. Biofeedback exercises.
7. Pain medicine.

A stroke keeps blood from reaching the brain and leads to brain tissue damage. About 10% of people who experience a stroke eventually develop severe pain that is called post-stroke pain, central pain, or thalamic pain (after the part of the brain typically affected).

Although sleep is a crucial part of stroke recovery, many patients develop a problem known as excessive daytime sleepiness (EDS). Excessive daytime sleeping usually decreases after a few weeks. However, in about 30 percent of stroke patients, EDS can last for over six months.

Fortunately, damaged brain cells are not beyond repair. They can regenerate — this process of creating new cells is called neurogenesis. The most rapid recovery usually occurs during the first three to four months after a stroke. However, recovery can continue well into the first and second year.

Recovery time after a stroke is different for everyone—it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities.