MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with a brain tumor is complaining of headaches that are worse in the morning. What does the nurse know could be the reason for the morning headaches?
A
Migraines
B
Dehydration
C
The tumor is shrinking.
D
Increased intracranial pressure
Explanation: 

Detailed explanation-1: -The cerebrospinal fluid that surrounds the brain accumulates in the head when you are lying down. This increases pressure on the brain along with increased pressure from the growing tumor, causing early morning headache pain. Headaches associated with brain tumors characteristically ease as the day wears on.

Detailed explanation-2: -Symptoms are caused by the pressure inside the head being higher than it should be. A growing tumour may push normal brain out of the way, or block the flow of fluid in the brain. Doctors call this raised intracranial pressure, and it can cause symptoms such as: headaches (often worse in the morning)

Detailed explanation-3: -The tumor often blocks the flow of the CSF (cerebral spinal fluid, which bathes the brain and spinal cord), causing increased intracranial pressure.

Detailed explanation-4: -A number of sleep or health disorders, as well as personal habits, can trigger a headache when you wake up. Sleep apnea, migraine, and lack of sleep are common culprits. However, teeth grinding, alcohol use, and certain medications can also cause you to wake up with a headache.

There is 1 question to complete.