My head is bulging and tense.

First of all, consider the patient's age, if middle-aged, must monitor blood pressure, whether blood pressure increased caused, but also monitoring morning, or nine o'clock in the morning, two or three o'clock in the afternoon; some people's blood pressure at night high, called h-type hypertension. Secondly, consider a kind of brain functional disease, such as whether there is cerebral blood supply insufficiency, need to perfect the MRI of brain, clarify the condition of brain tissue, whether there is cerebral infarction, hemorrhage or space-occupying lesion, perfect carotid artery ultrasound, transcranial Doppler ultrasound, that is, TCD examination, to understand the condition of blood vessels and see whether there is chronic stenosis and occlusion.