The Secondary Headaches · ICHD-3 · 7.4

Brain tumour

Headache from a tumour usually comes from pressure change or traction on pain-sensitive structures. The classic morning headache with vomiting is uncommon and late. Progression, neurological signs, and context matter more.

Talking with the patient

Fear of a tumour is common and should not be closed with “it is nothing”. Say what in the history is reassuring and which change should bring the person back sooner. If you decide to image, the modality, such as the role of MRI in the posterior fossa, is chosen by the imaging clinician and the neurologist.

These pages are written for health professionals. They do not replace a history, examination, or clinical judgment. Treatment is decided for each patient individually.