Secondary headaches- raised ICP & space-occupying lesions

characteristic
1. worse when lying down
2. morning vomiting
change in
1. mood
2. personality
3. educational performance
visual field defects
1. from lesions pressing on optic pathways
  1. e.g. craniopharyngioma (pituitary tumour)
cranial nerve abnormalities
1. diplopia
2. new-onset squint
3. facial nerve palsy
  1. caused by pontine lesions
4. CN VI
  1. long intracranial course
    1. often affected when there is raise Pa ->
      1. squint w/ diplopia
      2. inability to abduct the eye beyond the midline
        false localising sign
abnormal gait
torticollis (tilting of head)
growth failure e.g.
1. craniopharyngioma
2. hypothylamic lesion
papilloedema
1. a late feature
cranial bruits
1. may be heard in arteriovenous malformations
  1. AVMs are rare

Resource summary

	Created by v.djabatey over 10 years ago