Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor...Several months ago I fell walkingface forward my head onto a low metal coffee table hard resulting in a broken nose and damaging my left forehead while opening a vein/artery. Much bleeding as expected...to stop the bleeding received stiches, Xray and brain scanned.... no concussion.... and was sent home with instruction to see a facial surgeon for nose surgery. Surgery to fix nose completed. The left side vein forehead has forked ; clearly bulging significantly relocated (unlike vein right forehead.) I am a very heathy female (74 years old...normal weight... never smoked, rarely drink, and do not do drugs.These attacks/seizures begin at numbing from top of my head moving with significant numbness down toward the level of my heart and stopping. They last about 3-4 minutes. I feel like I am definitely going to go unconscious... passing out ; URGGENT CARE BRAIN SCAN DID DID SHOW AN INCREASE IN THE WHITE AREA OF MY BRAIN INDICATING RECENT LOSS IN THIS AREA. Continuing....QUESTION: If not escheimic could they be aneuryisms. If these are possibly aneuryisms, DO I REFER TO A CARDIOLOGIST OR A NEUROLOGIST OR BOTH? Thank you for your consideration. Audrey Bower YYYY@YYYY
[|AI|]  Hi, Naturally, it would be better to have the full imaging report. However, I don't see any indication of an aneurysm in your account.  Aneurysms are not situated in the white matter. They develop from the wall of the blood vessels, not the parenchymal and usually the major blood vessels (while white matter is supplied by the tiniest vessel).  Therefore, no indication of an aneurysm at all, perhaps there may be damage from the trauma which may cause seizures, but that is hard to say without the report. Hope I have answered your query. Let me know if I can assist you further.