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We examined 111 consecutive patients with primary or metastatic brain tumors identified by CT or MRI to characterize brain tumor headache.The median age was 44 years;34%had primary and 66%metastatic tumors.Headaches were present in 48%,equally for primary and metastatic brain tumors. Headaches were similar to tension-type in 77%,migraine-type in 9%,and other types in 14%.The typical headache was bifrontal but worse ipsilaterally,and was the worst symptom in only 45%of patients.Unlike true tension-type headaches,brain tumor headaches were worse with bending over in 32%,and nausea or vomiting was present in 40%of patients.The"classic" early morning brain tumor headache is uncommon.Nausea,vomiting,and abnormal neurologic examination,or a significant change in prior headache pattern suggest that the headache may be caused by a tumor. |
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headache headache,awakened by neoplasm,intracranial neoplasm,metastatic to CNS neoplasm,primary intracerebral neoplasm,primary of CNS
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