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[Brain tumor and headache.].

I Kiss1, M Franz, M Kilian

  • 1Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Alfried Krupp von Bohlen und, Halbach Krankenhaus GmbH, Alfried Krupp Straße 21, D-45117, Essen.

Schmerz (Berlin, Germany)
|September 1, 1994
PubMed
Summary
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Headache is not an early symptom of brain tumors. This study investigated brain tumor headache characteristics using the McGill Pain Questionnaire, finding pain intensity varied by patient demographics and tumor type.

Area of Science:

  • Neuroscience
  • Oncology
  • Pain Medicine

Context:

  • Headache is a common symptom, but its association with brain tumors is complex.
  • Previous beliefs suggested headache as an early, cardinal sign of brain tumors.

Purpose:

  • To investigate the association between brain tumors and headache characteristics.
  • To analyze pain intensity, quality, and influencing factors in brain tumor patients.

Summary:

  • Out of 100 neurosurgery patients, 43 reported preoperative headache.
  • Headache was the primary symptom in only 11 patients with brain tumors.
  • Pain intensity was lower in brain tumor patients compared to other headache origins; female patients, those under 50, and with elevated intracranial pressure reported more intense pain.

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Impact:

  • Challenges the notion of headache as an early cardinal symptom of brain tumors.
  • Highlights the utility of the McGill Pain Questionnaire for detailed headache characterization.
  • Provides insights into pain mechanisms and influencing factors in intracranial pathologies.