Brief Answer:
Need further investigation
Detailed Answer:
Dear Friend
Thanks for sharing with us.
Your mother has Lacunar infarcts , for which i am sure she must be receiving treatment with Aspirin ,
Atorvastatin.
She must be having Risk factors for which she got Lacunar Infarcts , One risk factor i can see is Age and menopause.
I suggest following investigations:
1. Hemogram
2. Lipid Profile
3. Blood Sugar
4. ECG
Treatment would be based on the reports , but i strongly recommend Aspirin and Atorvastatin.
Migraine headache is usually unilateral , throbbing , associated with nausea , vomiting ,
photophobia,
phonophobia.
If she has migraine headache , that can be treated , I personally prefer to use
flunarizine for migraines.
Also , she needs a regular life style like timely sleep in night. Avoid Cheese , lemon , in diet.
She should avoid any pain killers. I prefer to give my patients simply Tab Vasograin when they have severe pain.
Get her reports , get her BP checked once again , review with me with the reports.
I hope i am able to solve your query , if you still have any query ask me.