ALPHA
#Neurology

Space occupying lesion symptoms

evan Feb. 26, 2024

Progressive focal neurological symptoms

Space occupying → ICP & associated symptoms

  • Constant headache
  • Nocturnal (occurring at night)
  • Worse on waking
  • Worse on coughing, straining or bending forward
  • Vomiting
  • Papilloedema on fundoscopy
  • Altered mental state
  • Visual field defects
  • Seizures (particularly partial seizures)
  • Unilateral ptosis (drooping upper eyelid)
  • Third and sixth nerve palsies

 

The cancers that most often spread to the brain are:

  • Lung
  • Breast
  • Renal cell carcinoma
  • Melanoma

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