Hi, I am Neuro Doctor, an American Board Certified Neurologist with vast clinical experience.
Have you had ever this kind of headache before?
How long ago was that?
Yes. Only once down the right side of back of head. It was high blood pressure.
Okay I see
did you have arrm numbness that time?
And was the headache as severe as this time?
Yes. Head splitting pain. Right now the pain is I my neck.
There may be some time lag during exchange of information due to some technical glitch with the chat, I am actually answering immediately after I receive your questions or replies. Just informing you.
Do you remember how high your blood pressure was that time?
I believe in the same range of around 150/100.
This time do you have any vomiting?
Is blood pressure 150 to 160 by 100 is very high for you?
I have asked a question above, I hope you are able to see it.
At thst range it causes severe headaches. Past few days have had numbness in arm, but no headache.
Are you having any neck stiffness this time?
Also experici ng numbness in left side of leg.
Yes, neck stiff.
Do you remember whether you had neck stiffness with the previous severe headache episode?
No, I did not.
And the numbness in the arm or leg, does it occur only when blood pressure is high, or does it occur with normal blood pressure too?
Not specica lly on ldft sjde. Have had back fusion about 3 yrs Go, so have had tingling usually on upper legs. Not specifically on one side.
Is the stiffness of the neck both sides of the neck, or only on left side of neck?
Entire back of neck.
Is the numbness better now or same like before?
Same. More numbness in side of leg nowbthan upper arm. Neck is very painful.
I have one more question on numbness
only about arm numbness, not about leg numbness
does arm numbness occur with normal blood pressure too, or does it occur only with high blood pressure?
There may be some time lag during exchange of information due to some technical issues with the chat, I am actually answering immediately after I receive your questions or replies. Just informing you.
Are you able to see my last question?
I will repost it here; does arm numbness occur with normal blood pressure too, or does it occur only with high blood pressure?
Have experienced some arm numbness in past few days. I think BP was normal. Today was the day headache severe. Then I checked BP. Nausea is getting worse. Pro ably need to go to sleep if I can. What do you think? Is it safe to just call the doc in AM? Or is there possibility of stroke ?
In fact that is the reason I am asking many questions
I want to make sure I got all the info
So that I give you the most correct diagnosis
I have now received sufficient information from you.
Thanks for all these details, I will discuss now the possibilities and the treatment plan
High blood pressure can cause stroke like symptoms
So this looks like most likely related to high blood pressure
However a small possibility of something more than just high blood pressure cannot be entirely ruled out
So in my opinion it is better to get this checked out in the ER
I can understand your concerns
Even if BP is lower?
I will explain
First of all you did not have neck stiffness with previous severe headache, agree?
And the numbness of arm can occur with good blood pressure too
so even in blood pressure is better now however better to explore the other possibilities
I cannot vouch this is all just high blood pressure
There is a small doubt whether anything else
So just to be on the safer side it is better to visit ER
I am sorry, as a professional I am supposed to give my honest and best opinion
going to ER at this time of the day can be lot of inconvenience
but as a precautionary measure it is better to do so - in my opinion
I do not want to scare you
I am just trying to give my best and honest opinion
Now BP is 160/104
I am sorry to hear that
Since BP is still high this may be another indication to visit ER
Hopefully and most likely nothing serious, but it better not to wait until AM
Ok.hope they don't think inam a hypochondriac.
So if possible get it checked in the ER tonight itself
No, they should not
You have symptoms, high BP too
you need to be examined by a Dr ASAP
Do you have any further questions?
Please let me know if you have any further questions. And if you feel you have received the answer to your question please rate me Excellent to compensate me for the time and effort put by me in answering your question.
Have been admitted to hospital. CT scan indicated small stroke. Thank you so very much for your help!!!!
I am extremely sorry to hear that you indeed had a stroke. Although my suspicion came correct however I would have been happier if my diagnosis went wrong and you had no stroke and all your symptoms were just BP related, but unfortunately it was not the case and there is a stroke, but at least it is a small stroke. They will now do workup to find out what exactly caused the stroke and then treat you accordingly. I wish you a quick and complete recovery. All the best!You are very welcome and please let me know if you have any further questions. And if you feel you have received the answer to your question please rate my answer to compensate me for the time and effort put by me in answering your question.