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Topic: Headaches & brain tumors (Read 374 times) |
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Bob_Johnson
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Headaches & brain tumors
« on: Sep 16th, 2004, 4:54pm » |
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(Combine this with the earlier post on Goadsby-brain scan.)
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Neurol Clin. 2004 Feb;22(1):39-53.
Headaches and brain tumors.
Purdy RA, Kirby S.
Department of Medicine, Division of Neurology, QEII Health Sciences Centre, Dalhousie University, Halifax, NS, Canada. alpurdy@dal.ca
A careful history and physical examination remain the most important aspects of headache assessment. enabling the neurologist to decide if any further studies are necessary. Only a minority of patients who have headaches have brain tumors; however, recognition of the headaches characteristically associated with tumors is most important. Some locations are more likely to produce headache (eg, a posterior fossa tumor causes headache more often than a supratentorial tumor). Rapidly growing tumors are more likely to be associated with headache. Uncommon headache presentations can occur with tumors, includin paroxysmal cough, cluster headache, and TACs. The classic brain tumor headache is not as common as a tension-type presentation or migraine. Patients who have prior primary headaches may have more headache symptoms if they have a tumor and of course they still have their primary headache disorder. Mass lesions progress and inevitably develop other symptoms and signs besides headache, and these new symptoms and signs must be sought and found. Metastatic leptomeningeal involvement can present with headache and spinal pain in the neck and back. Imaging of headache patients for tumors, if they have primary headache disorders, such as migraine and typical cluster, generally is not cost effective but is necessary if there are any atypical features. Treatment of headache in patients who have metastatic brain tumors should be aggressive in terms of pain and symptoms control. Treatment of primary CNS tumors is dictated by the kind of neoplasm and site, but control of headache should not be ignored.
MID: 15062527 [PubMed - indexed for MEDLINE]
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Bob Johnson
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sandie99
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Wish it, dream it, do it - inspite the pain!
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Re: Headaches & brain tumors
« Reply #1 on: Sep 17th, 2004, 6:01am » |
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Brain cancer killed my father. Quess how I felt when the first CH hit?
Lots of PF days,
sandie99
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CH happends, Live anyway! PF days to us all!
"Do what you can and let God take care of the rest. Leave your heart wide open and always wish for the best" (Sanna Hillu)
"No matter how far out your dreams are, it's possible" (Marketa Irglova)
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yikes-another-one
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Re: Headaches & brain tumors
« Reply #2 on: Sep 24th, 2004, 8:08pm » |
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I never got too worried, when they presented like a mirgraine, and laying down used to help....
but when I got my very first "10"
I panic-ed and started writing goodbye letters, incase it was aneurysm....
but I am still as healthy as a horse....
MRI was done by a different doctor, and they
were not concerned enough to do another
(Darn HMO plan didn't allow it....lol)
ah, well, As long as you hve no memory problems,
no balance problems, no difficulty doing theings you have always done.... they won't worry about a tumor.
It's when you cannot close your eyes and point to your nose...or cannot close your eyes and touchyour toes....
then they worry ....
until then
Hakuna Ma-Ta- Ta --- as in "bubye"
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Psalm 23 - Goodness and mercy shall follow US all the days of our lives and WE will dwell in the house of LOVE forever.
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Karla
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Re: Headaches & brain tumors
« Reply #3 on: Sep 24th, 2004, 9:12pm » |
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When I first got in to the neuro and described my pain to him his first thought was that I had a brain tumor and he told me that. It scared me big time and I couldn't wait for my MRI results to come back! I was so glad to hear I only had ch. If I only knew then what I know now. 
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Karla
suffer chronic ch
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Proud Mom of Chris USMC Semper Fi
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