Brain tumor headache

Characteristics of headache suggestive of brain tumor.
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{summary

온 onset - at early morning or at night

듀 duration -  if duration of isolated headache  > 10 weeks - brain tumor unlikely.

로 location - may mimic migraine or tension headache

캐 "new" , "menigism" (아래참조)

프 precipitant - worse on exercise / valsalva (couhging / sneezing / bending over)

(래)

(리)

others:
"new"
-New - different (pattern) from previous headache
-New after age 50
-headache in children and elderly

-progressive

"like meningitis"
-with new neurologic signs (including seizure)
-with neck stiffness
-with fever
}


Though headache is a common symptom of brain tumor, it is infrequently seen in isolation. In the majority of cases, brain tumor

headache is associated with other neurologic symptoms such as seizures or focal weakness.

Isolated headache of more than 10 weeks duration is seldom caused by brain tumor.

The classic "brain tumor triad," comprising nocturnal or early morning occurrence, nausea/vomiting, and severe nature, has not

been borne out as a typical pattern in modern studies. In one series of 53 adults with brain tumor headache, this triad occurred in

only nine patients (17 percent).


Headache in brain tumor may mimic migraine and tension headache.
The headache related to brain tumor was described as similar to tension-type headache in 41 patients (77 percent), similar to

migraine (although with atypical features) in five patients (9 percent), and was unclassifiable in seven patients (13 percent).


Because of the variable nature of headache among patients with brain tumor, the diagnosis of headache attributed to brain tumor

should be considered in patients who complain of a headache with any of the following "red flags" [40]:

    Acute, new, usually severe headache or headache that has changed from previous patterns
    New headache onset in an adult, especially over 50 years of age
    Headache in the elderly or in children
    Headache on exertion, onset at night, or onset at early morning
    Headache that is progressive in nature
    Headache associated with fever or other systemic symptoms
    Headache with meningismus
    Headache with new neurologic signs
    Precipitation of head pain with the Valsalva maneuver (by coughing, sneezing, or bending over)


Reference:
- Brain tumor headache (UPTODATE) Christine L Lay, MD, FRCPC; Christina Sun, MD