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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Headache, Nausea, Lethargy, Trouble Lying On Back. Has AF. CT Scan Shows Lacunar Infarct On Top Left And Right Parietal Subcortex, Brain Atrophy. Explain

Hi
My Mom has AF (Atrial Fibrillation) and currently in the hospital.
She has been complaining about severe headaches that didnt go away with medication. She also has nausea and very lethargic. How likely it is that this symptoms are caused by ruptured brain aneurysm?

She had CT scan a couple of days ago which shows "Lacunar Infarct on top Left and Right parietal subcortex, and brain atrophy"

They suggest to do MRI to test what causes the severe headaches, but she usually has trouble lying flat on her back. She gets short breath if she lies flat on the back. Would you reccommend MRI?

Is there another effective test besides MRI to test the cause of the severe headaches?
Fri, 30 Aug 2013
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General & Family Physician 's  Response
Hi,Thank you for consulting H.C.G..
Your mothers CT Brain shows Infarct(Brain Stroke) Which can cause the headache which will be relived with time after stroke.
In AF is a source of blood clots that migrate to brain and cause the stroke.
Cardiac ECHO and Doppler Neck Vessels is the next best step.
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Severe Headache, Nausea, Lethargy, Trouble Lying On Back. Has AF. CT Scan Shows Lacunar Infarct On Top Left And Right Parietal Subcortex, Brain Atrophy. Explain

Hi,Thank you for consulting H.C.G.. Your mothers CT Brain shows Infarct(Brain Stroke) Which can cause the headache which will be relived with time after stroke. In AF is a source of blood clots that migrate to brain and cause the stroke. Cardiac ECHO and Doppler Neck Vessels is the next best step.