History….fibromyalgia, arachnoid cyst base of brain, bicuspid aortic valve replacement with ascending aortic root replacement, history of tia, postural orthostatic tachycardia syndrome. Issue…severe headache starting at top of neck going up back of head then spreading out over whole head at top of head, dizziness, nausea, vomiting, little confusion, weakness and now an electrical probe feeling on head, severe pain in arm that comes and goes.