###Human: Why are there vomiting and headache in a hypertensive patient? ###Assistant: Hello. I have seen the MRI brain report (attachment removed to protect patient identity), suggesting multiple sebaceous cysts in the brain, and ring like enhanced lesion on cerebellum (small brain) right side which can be infective lesion like tuberculoma, neurocysticercosis, toxoplasmosis or tumor lesion like astrocytoma or medulloblastoma or secondary metastatic tumor or may be benigntumor. That is why she is developing that condition. Her condition might be worse if she will not get proper attention. Kindly follow following instructions. Admit her in any hospital under neurologist. Keep her in ICU. Make her BP stable. Go for diffusion-weighted MRI for a clearpicture, CT thorax to rule out any lung or breast malignancy. Do lumbar puncture and CSF fluid analysis. Rule out through blood cultures any parasitic, worm, bacterial or viral infection according to that treatment.