hi thank you Maria and very pleased to answer you The clinical signs you describe may be related to many diseases: peripheral neuropathy, middle ear infection, labyrinthitis, panic attack, stroke, transient ischemic attack (mini-stroke), …etc. Hypertension is the most powerful and frequent risk factor for stroke, far ahead of diabetes, hypercholesterolemia, smoking, sleep apnea syndrome, hyperhomocysteinemia and inflammatory syndrome. In addition, the first target of hypertension is the brain, in front of the myocardium and the peripheral arteries, while the antihypertensive treatment has, as a first target, the cerebral vessels, with a very great decrease in the risk of new stroke or recurring. Fever (usually defined as a rise in body temperature above 38 ° C) is particularly common in the aftermath of a stroke. Its incidence is estimated between 25 and 60% according to the series (Castillo et al., 1998). It is a consequence of stroke, but also, sometimes, a cerebrovascular risk factor. A stroke occurs when a part of the brain is suddenly deprived of blood. There are ischemic strokes and hemorrhagic strokes. They often occur in people with risk factors. As you are a hypertensive patient (people with risk factors), and you are describing signs that can be related to Stroke (headaches , fever dizziness vomitting slight chest pain tingling in left arm) , and as stroke is the first complication that can happen to hypertensive patient, it is very essential to know if it is not a cerebral vascular accident that causes you all the symptoms that you are describing. The vital prognosis depends on it. So, Maria, I ask you first for an emergency cerebral MRI. best wishes