Headache due to Intracranial Mass lesions 


Headache is the most frequent symptom reported in increased intracranial pressure due to mass lesions in the head. 

Symptoms & Signs 

-Headache may be worse upon lying down

-Awaken the patient at night

-Recur throught the day 

-Peak in the morning after overnight recumbency 

-Increased with Valsalva maneuver 

-Associated with nausea, vomiting, behavioral changes, seizures, visual disturbances, focal, progressive neurological changes 

-Cushing’s triad: Hypertension, bradycardia, and irregular respirations


Based on history, physical examination, and imaging 


Patients with these symptoms should undergo an immediate head CT and rapid neurosurgical evaluation