Headaches Related To The Tumor: Pathways Of Diagnosis, Treatment Is Not Always Obvious

Headaches are common in the general population and often occur in patients with underlying brain tumors, although it is not clear to what extent they are relevant. However, contrary to traditional thinking, the headaches associated with brain tumors can be essentially the same as headaches without brain tumors. International Classification of Headaches -3 (ICHD-3) definition of “classic brain tumor headache” may not reflect the type of headache patients with observed brain tumor performance .1,2

The headache of the ICHD-3 description and the diagnostic criteria are attributed to intracranial tumor 2:

Progressive headache
A.More painful in the morning
B.Valsalva style exercises exacerbated this situation
C.Intracranial space-occupying tumors have been confirmed
D.The causal relationship is evidenced by the following two:
E.The relationship between the development of headache and the development of tumors, or lead to their discovery
F.The headache worsens according to the tumor progression
G. Successful treatment of tumors can improve headaches

In a review in 2014, MD Lynne P. Taylor found that disorders of primary headaches and secondary headaches to brain tumors often have a common pathological 0.3 Although the mechanism is unclear, but the primary treatment of cancer can usually resolve the evidence of headache. Structural changes and increased intracranial pressure associated with the presence of space-occupying lesions are the main causes. Other side effects of the tumor, such as neuroinflammation and increased sensitivity in the peripheral and central regions of the brain, can also cause headaches.3

However, from the University of Washington Medical Center, Dr. Taylor, co-director of the Cancer Alliance Treatment Seattle and Seattle, Washington Brain Tumor Center alvord found that brain tumor headache is not as widespread as initially thought , but the most important is the risk factor is a preexisting headache disorder. 3 “from the perspective of the neuro-oncology point of view, we believe too much emphasis on the classic ‘brain tumor headache’,” he said, noting that in his opinion, he found that the morning headache is only about the 32% of the time, and it is very rare to wake up the “red flag” headache of someone in the middle of the night.

In an interview with a neurology consultant, Dr. Taylor emphasized that personality changes, not headaches, are the most common symptoms of brain tumors. “In general, particularly in obtaining [computed tomography] and brain [MRI] scans case, the headache is now less likely to be a sign of cancer than in the past,” he said, citing studies reported only the 8% 12 The incidence of isolated headache is the only symptom of brain tumors 4,5.

Medical director of the New England Institute of Neurology and Headache, medical director of Stamford, Connecticut New England Ki clinical research and clinical studies, experts agree Peter McAllister headache this point of view. “Despite any significant change in the pattern of headache should encourage people to consider secondary headaches, such as tumors, but only about 40% of the tumor as the main symptoms of headache,” he said.

University Hospital miles J. Levy Leicester NHS Trust of endocrinology consultant The neurology consultant, “Usually causes intracranial headache of concern in relation to the other focal neurological symptoms, such as behavioral changes, weakness on one side or Sensation of harassment, seizures, etc. abnormal

Distinguish between primary and secondary headaches

Dr. Taylor said, it is often impossible to distinguish between primary headaches and secondary headaches to brain tumors, because the same migraine headache related to the most common tumors. Progressive headaches can be the most important signal, especially if combined with new or progressive sensory or motor symptoms or personality changes, “he said.

Despite the severity or location of the change point for the headache headache associated with the tumor, but Dr. McAllister stressed that in clinical practice, primary headache is more common than in cancer-related patients, and People with a history of migraine are more common “even if there is no change in the severity of the headache modality, it remains the most likely diagnosis of migraine.” He said that when the tumor is in a headache “pain is usually very mild, mild to moder