Temporal profile of (space occupying lesion of brain)Headache.

Shanmugasundaram, N (2012) Temporal profile of (space occupying lesion of brain)Headache. Masters thesis, Stanley Medical College, Chennai.


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Introduction: Given the range of disorders that are implicated in manifesting as headache, an analysis and interpretation of the pattern of headache would be helpful in identifying rarer life threatening secondary headaches. This study is, planned mainly to analyse the pattern of the secondary headaches due to brain neoplasm. Methods: All the Patients diagnosed to have primary or secondary brain tumour by neuroimaging were interviewed in detail about the headache. Clinical , neuroimaging and biopsy details were obtained. Results: The prevalence of headache in the study population of 208 patients was 88.5 %. Most had a change in the pattern of headache among 3.8 % who had pre existing headache.During onset, Headaches were localized to frontoparietal in supratentorial, and bifronto parietal in sellar and in hydrocephalus , bioccipital in infratentorial tumours and to the same side in hemispheric lesions. 97.3% had dull aching quality. Greater intensity were seen in with more number of patients with raised Intracranial pressure group, with tumor with edema. The frequency of episodes were more in the severe edema group. Discussion: The brain tumour associated headache initially has onset in the side of tumour in hemispheric lesions and bifrontal in pitutary tumours and in patients with raised ICP. The common pattern was of intermittent type of moderate intensity with worsening with valsalva and postural change. The size of the tumour is one of the factor requiring modification by other factors like edema, development of raised ICP, vascular or meningeal involvement, etc. in determining the headache. The extent of edema plays a significant role with regard to intensity and frequency of the episodes per month. Conclusion: The brain tumour associated headaches have special characteristic features of unilaterality, dull ache, recent onset or change in pattern with pre existing headache, progressive in nature, headache intensity worsening with valsalva, change in position or during exertion and in association with seizures or neurological deficits. The infratentorial location, extent of tumour associated edema, and raised intracranial pressure are significantly important factors in brain tumour associated headache.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Brain Tumour ; Headache ; Temporal profile ; space occupying lesion of brain.
Subjects: MEDICAL > Neurology
Depositing User: Kambaraman B
Date Deposited: 30 Jun 2017 03:03
Last Modified: 30 Jun 2017 06:16
URI: http://repository-tnmgrmu.ac.in/id/eprint/681

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