Conversation: The conversation between human and AI assistant.
[|Human|] hi I have a one sided severe headache attack which occurs at irregular occasions/intervals. This pain also results in temporary hike in BP (last time it went upto 230) and temporary paralysis (something of that sort: My left arm and leg does not respond at the time of attack). I was advised to take Dicorate ER 750 at the onset of pain. Should I always keep this medicine with me or is there an end to these attacks?
[|AI|]  Hello and welcome to Chat Doctor. Thanks for your query. From the brief description of your symptoms, a likely cause could be a migraines headache (which rarely present with transient neurological symptoms like paralysis). Another possibility which has to be considered in this scenario is a transient ischemic attack (TIA). This is a condition where a person can transiently experience neurological symptoms such as headache, paralysis, etc., which resolve after a brief period. This condition is caused due to a temporary decrease in the blood flow to the brain. A rise in BP can be associated with a migraine as well as a TIA. However, a BP of 230 is very high and can be potentially dangerous. I hope you have had a detailed neurological evaluation to rule out any major neurological problems or complications. Decorate ER (Valproate sodium) is an anti-epileptic medication which can sometimes be effective in the treatment and prevention of migraines headache. It is difficult to say how long you will have to continue the medication, since this varies widely from person to person, depending upon the nature and severity of the problem. Wish you all the best.