Hi,
I passed carefully through your question and would explain that your son's symptoms could be related to a possible stroke. Regarding the pinched nerve in the neck, it would also cause irradiating pain in the arm, triggered by neck movements.
So, I don't think this is the case. Besides, it would be signs of
spinal canal compression or stenosis in the
cervical spine MRI study. Regarding the dots in the
occipital lobe, there is a special sequence in MRI, which is called DWI, which can differentiate if they are acute or old.
Regarding
Migraine, it could be migraine if the numbness recovered within 72 hours, but it is usually associated to motor deficits too. The
Chiari malformation can trigger headache and
neck pain during an injury, but it usually causes chronic signs like headache,
dizziness, gait imbalance, etc.
It does not lead to such acute clinical situation. Anyway a follow up every 12 months with brain MRI is necessary to see if the cerebellar tonsils are in the same position or if there is presence of siringomyelia (which is a common complication of Chiari malformation). You should discuss with your doctor on the above issues.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ilir Sharka,
Cardiologist