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This is Dr. David
she could be having some new temporary blockages of CSF fluid flow in her shunt
or possibly a viral infection causing headaches and pain.
she should see a neurosurgeon as soon as she can and get her symptoms evaluated.
she may need a new brain MRI scan to check for hydrocephalus or new aneurysms.
without a new MRI scan, it is only guessing at what is going on inside of her brain.
is she willing to see a doctor or neurosurgeon for a new MRI scan?