Diferencia entre revisiones de «Intracranial mass»
(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== {{Intracranial mass DDX}} ==Workup== ==Management== ==Disposition== ==See Also== ==External Links== ==S...") |
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==Clinical Features== | ==Clinical Features== | ||
*Vary depending on size, location, and nature of mass | |||
{{HA red flags}} | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
*Treat specific process | |||
*Consider [[seizure]] prophylaxis | |||
*See also [[Management of Elevated Intracranial Pressure]] | |||
==Disposition== | ==Disposition== | ||
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==External Links== | ==External Links== | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:Neurology]] | |||
Revisión actual - 03:32 3 oct 2019
Background
Clinical Features
- Vary depending on size, location, and nature of mass
Headache Red Flags
Features
- Sudden onset or accelerating pattern
- Maximum intensity of pain at onset (i.e. "thunderclap")
- Worse with valsalva
- Worse in the morning or at night
- No similar headache in past
- Age >50 yr or <5 yr
- Occipitonuchal headache
- Visual disturbances
- Exertional or postcoital
- Family or personal history of SAH, cerebral aneurysm, or AVM
- Focal neurologic signs
- Diastolic BP >120
- Papilledema
- Jaw claudication
Clinical Context
Headache in setting of:
- Infection
- Cancer
- Immunosuppression
- Seizure
- Syncope
- Trauma
- Altered mental status
- Systemic illness (fever, stiff neck, rash)
- Nausea/vomiting
- Patient on anticoagulation, steroids, NSAIDs, antiplatelet
Differential Diagnosis
Intracranial Mass
- Intracranial hemorrhage
- Intra-axial
- Hemorrhagic stroke (Spontaneous intracerebral hemorrhage)
- Traumatic intracerebral hemorrhage
- Extra-axial
- Epidural hemorrhage
- Subdural hemorrhage
- Subarachnoid hemorrhage (aneurysmal intracranial hemorrhage)
- Intra-axial
- Brain tumor
- Brain abscess
- Subdural empyema
- Epidural abscess (intracranial)
Workup
Management
- Treat specific process
- Consider seizure prophylaxis
- See also Management of Elevated Intracranial Pressure