Dizziness and nausea after pipeline stent

Hello everyone,

A bit about my story. April 20th I went into the hospital as a code stroke due to right sided weakness, headache, and aphasia. I had a pipeline stent placed 4/24. I am on Aspirin and Brilinta along with Topamax due to migraines post stent. I recently went back to work last week (I am a RN that works in the ER). I noticed it is taking me real effort to keep up along with my job and not feeling the best. On Friday I had to clock out and be seen due to vomiting and feeling light headed. My coworkers stated I went pale. I had as repeat CTA and everything checks out okay. I have my follow up DSA on October 6th. Is anyone else having these issues? Should I go back on a leave of absence until after my follow up procedure? I do not know what to do and it is frustrating. It feels never ending. Any advice in general?

How long did it take you to recover?

Thank you!

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Morning Ms Brittany! I’ve moved your question so it can hopefully be answered by more members. Perhaps whatever you were doing was too much for you still. My cousin is a retired nurse and I distinctly remember her fussing about moving heavier patients getting to be a bit much for her when she was in her 50’s. She switched positions as soon as one became available. Nursing can be a bit stressful if one works in the ED or one of the ICU’s. I recall when I worked the RNs in the ED and the NICU changed a lot, very few stayed longer than a year or two. Stress is not our friend.

I’m guessing your surgeon was the one who released you to return to work. I can only suggest you contact your surgeon. I’ve always had a diagnostic angiogram six months after mine did a repair attempt. I always get a MRI/A prior to a procedure. One of the radiology techs was fussing when an ER doc ordered a CT and not a MRI after I ruptured. Back then insurance companies preferred the CT as they didn’t cost as much is what the ER MD told me when I asked. It was one I knew, not the one who ordered it. When did yours say they were doing your follow up angiogram?

Of course I’m going to ask if you stay hydrated and eat protein. It’s what mine would ask me -“What have you drank and what have you eaten today?” She told me once she does the same to her husband​:joy:

But reach out to your neurosurgeon or neurologist would be my final answer.

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@Hazzeleyez

I came here to say that I agree with @Moltroub . Contact your neurosurgeon and ask for advice. I’m a retired nurse and certified nurse midwife myself with my training and career mostly from overseas. To work in the ER is very stressful (I never did that), sometimes you don’t have time to eat and drink or even to have a bathroom break. It doesn’t sound good that your work wears you out like that, you are supposed to help people, not to be a patient yourself……., is it possible to be on sick leave for half the time and work less days and see how it feels? Get in contact with your neurosurgeon and ask for advice. All the best to you.

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Hello there, sorry to hear you’re having a hard time and it’s pretty normal that you are having a hard time. I had a pipeline stent placed in February 2026 after a non-traumatic subarachnoid cerebral hemorrhage. It seems to me that you’ve had a lot happen and you are taking a lot of very strong medication still. I think I’ll say to you what my neurosurgeon said to me…you have had a life-threatening condition, it’s OK to not be OK, it takes a long time to recover and it’s different for everyone.

You are five months post procedure. At five months for me I began having very weird symptoms and 15 to 20 migraines a month. Very debilitating and my treating physician has been concerned about TIAs and seizures. All my CTs and MRI show that I am healed from the procedure and my aneurysm is gone. When I was working, I was a psychotherapist in private practice. Spending 20 hours a week helping clients sort through emotional and difficult issues. I can say that I have not returned to work, I have done a handful of sessions since my procedure and each time I do them, I am left depleted and under resourced.

I can imagine your job is a stressful one and one that requires a lot of brain power and physical energy. Your medication’s alone could be causing some of the difficulty. While life-saving, medications can be a double edged sword. I am now seven months post procedure and I cannot imagine going back to work right now. My surgeon actually cleared me to do anything I wanted to do including work two weeks post procedure. Just because I’ve been cleared to work doesn’t mean returning to work won’t be difficult or maybe even impossible. All I can say is that for me slower is faster. The more I push, the more debilitated I become. The more I tend to my body, the more capacity I have. In my mind, there is nothing you’re describing that sounds strange. And while your surgeon may clear you, your body may still not be ready. Everyone’s journey is different, of course, listening to your surgeon is important, but in my mind never quite as important as listening to your own experience and what’s needed to heal. All the best. j

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Hello @Hazzeleyez -

Well, first of all, thank YOU for all that you do as an ER nurse! We all know what a crucial job you do - many of us from personal experience - and we are incredibly grateful! Sincerely!!

I have no medical background, except as a patient who had an SAH. :winking_face_with_tongue: Well, then I also developed hydrocephalus and then meningitis, so my journey back was a bit extended.

Now, don’t misunderstand me that there are only a select group I love more than my neurosurg/neuroradiology team since they saved my life over and over again! However, your story reminds me of the pull between the mind and the brain.

My first neurologist (retired part way through my care) pretty much said you are not going back to work until a year is up. Admittedly, that advice was specific to me, but she knew that the mind heals slowly. Eventually when I did go back to work, I stayed in the same profession and industry, but I did step down a few levels to better balance work/life and learn how to manage the new me.

Since I have lots of engineers in my family, that is how I think of neurosurgeons/neuroradiologists. They see a physical problem in your brain, install a stent, and voila, problem fixed! And I adore them for that!! However, just because the brain is ready, does it mean the mind is ready?

FWIW, I am sending a link to Ask JAN about brain injury. Ask JAN is about job accommodations post-injury but admittedly I did not see much specific to your symptoms.

You have been through a heck of a lot, so please give yourself a LOT of grace. I don’t need to tell you that brain injuries take a long time to heal, but - at least for me - repetition makes things easier.

Fin Whale Fan :whale:

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@FinWhaleFan @Moltroub @oct20 @JBC

Thank you all so very much for your replies and support. My neurosurgeon actually cleared me to go back to work three weeks after my procedure. My bruising was so bad post procedure my bruising went down to my knee and was very painful. Then my headaches started about three weeks post stent and they were so horrible. I received no medication from my first neurosurgeon. I ended back up in the ER and received steroids which I was on for one month before I was able to see my neurologist for my migraine medication. My primary is the one who kept me off of work. I have changed surgeons and now have a neurologist who now gives me the medication for the migraines.

I was returned to full duty so I am doing my 12 hour shifts and walking about 5-6 miles a day during my work hours. I try my best to consume my water and protein during my shifts and it is hard. I see my primary on Monday to hopefully go back on a leave at least until the follow up procedure is done.

I am just getting sad about the set back. I am 32 and feel like I should be invincible and I guess I should realize I need to rest and take care of myself. I feel like I’m losing my strength.

The bruising sounds painful! On a diagnostic angiogram, the Resident assisting my neurosurgeon didn’t put enough weight on the plug and I ended up with a decently sized hematoma. It makes me wonder if you had one. Back several years ago, one of our members had a stent placed and ended up with a hematoma. They did something at the hospital that got rid of it but apparently there was a lot of bruising. Not being in the medical field, and with a memory that’s no longer as good as it was, I can’t remember what was done.

My neurosurgeon had me on plavix and low dose aspirin after my stent was placed. I couldn’t stay on the plavix long but I will forever be on the aspirin. I was even told the other day to stay on the aspirin due to the stent rather than put it on hold for my upcoming ortho surgery. Brain trumps again!

Sounds like you’ve got a great PCP! As I’ve learned here, most neurosurgeons are finished when they’re done taking a gander in our brains and doing the necessary repair. Everything after is left up to another specialist, in our case the neurologist. My second neurologist was the one who taught us about secondary headaches from OTCs and told me I couldn’t stay only take one once daily but for no more than 3x/wk. At that time I had a constant, never stopping migraine for months. Migraines were new to me, I’d only have stress, lack of sleep, lack of eating, lack of hydration and eye strain type headaches that came with the job. Also learned from my career choice that those long adrenaline spikes are not our friend. I know the ER RNs had them as well, seems like things were feast or famine for us all, mostly feast no day was ever the “q” word. The ER RNs I got to know over the years and I would tease each other about the avoidance of using that word, usually saying things like peaceful or boring. But use the q word and it would be anything but calm.

I don’t envy your job, you and your colleagues are made of tough stuff! I’ve seen our ER many times literally have standing room only, all the exam rooms filled, gurneys lining every available space along the walls and RN station along with a waiting room full of people waiting to be seen. The long hours the hospitals put y’all through is asinine in my opinion. My guess is they don’t want a third shift because they’d have more benefits to pay out and every hospital I know needs to show a hefty profit or the CMO gets canned.

It does take time in my non medical opinion for our brains to get used to the different flow of blood stents provide us. How long that time is, may depend upon a lot of factors. But in my mind, right or wrong, our brains are used to somewhat getting the aneurysm fed and then it’s not. It’s the getting used to that I’ve never heard of a neurosurgeon discussing. Ruptured are completely different since we end up with some type of brain damage, whether major or minor it occurs which forces the brain to reroute neurotransmitters. When I asked my neurosurgeon why my stent helped me get over some of my issues or at least improve them, she didn’t know, but neither did my neurologist. I imagine your brain may be a big part of the culprit on your current situation.

I feel many of us who’ve had an incidental find and repair and most of us who’ve ruptured get a different perspective on our lives. We certainly get forced into acknowledging we need to care for ourselves first so we can care for others especially if we are naturally helpers. It is humbling and it’s an immense amount of work to learn to care for ourselves first and foremost, something caregivers also have to learn and adapt too or burnout is really high. I just remembered some of the ER staff would hydrate while they went to the bathroom one of the MDs told me “You gotta do whatever works.”

So I’m thinking do what you need to do so you can do what you want to do! Things do get better, but it will take time. You have a plan which is wonderful! Stick to your plan but I’d also suggest that life throws us roadblocks and it’s good to be aware of alternatives. It’s much easier to go around them, than trying to barrel through them. Lessons learned the hard way from someone who is 66.

Hang in there, we are here for you!

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@Moltroub @Hazzeleyez

Yes, I think it has to do with money. In my native country we have three shifts in every hospital. We were told that twelve hour shifts are not safe for the hospital staff because we get exhausted. The longest shift was the night shift, from 9pm to 7am. I don’t personally understand how you can work twelve hours in a row especially in such a demanding job! Take care of yourself.

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Was the same in my field doing On Call. Who in their right mind thinks it’s safe for someone who’s been awake and working for over 24 hours to take children into custody or to even respond to any call? I need to get off the soapbox now. But thank you for verifying what I think is an issue. I did write a letter to the CMO on my second angiogram after my rupture. NSICU staff was abhorrently low, the poor RNs were being forced to have several patients, not just the two as required by the State. The RNs I knew because I’d stayed a good amount of time with them six months earlier. I figured she (CMO) either didn’t know or wasn’t being told the truth. I really wanted her to know what was happening inside the unit and the change. I wrote to her, she took the time to write back. She knew what was happening and was working to resolve it. She rarely gets patient perspectives. Poor thing had just started and got a can of worms. She’s still in the position so it seems she’s got things straightened out, money is coming in, a new NSICU was built, they’re still building/improving both Brenner’s and the regular hospital side. Besides that she managed to keep her position through the pandemic!

Hi @Hazzeleyez -

I just wanted to check in and see how it went with your PCP the other day. What recommendations did s/he have for you?

Sending good energy your way!

Fin Whale Fan :whale:

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Hi @FinWhaleFan

Thank you for checking in!

She put me back off work for the rest of the year. She stated it is easier to return sooner than it is to extend. I really appreciate her.

I have been nauseous 24/7 with a headache/migraine. Which is strange because it has been on the opposite side of the stent placement and my migraine meds were increased. I am cranky about it. I am grateful to have the time to just focus on me and figure it all out.

Thank you for all the support!

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Good, glad you are able tto rest some more and focus on you!

Hope the migraines stop immediately!!

Fin Whale Fan :whale:

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