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(Message started by: Bob_Johnson on Sep 16th, 2004, 4:54pm)

Title: Headaches & brain tumors
Post by Bob_Johnson on Sep 16th, 2004, 4:54pm
(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]


Title: Re: Headaches & brain tumors
Post by sandie99 on Sep 17th, 2004, 6:01am
Brain cancer killed my father. Quess how I felt when the first CH hit?

Lots of PF days,
sandie99

Title: Re: Headaches & brain tumors
Post by yikes_another_one on Sep 24th, 2004, 8:08pm
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"

Title: Re: Headaches & brain tumors
Post by Karla on Sep 24th, 2004, 9:12pm
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. :-/  

Title: Re: Headaches & brain tumors
Post by plateglass on Oct 4th, 2004, 10:37am
http://headaches.org/consumer/headlines/Issue139cond.pdf       I found this link on the National Headache Foundation site  It has to do with migranes but you might find some intrest in it :)    Steve



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