Right Posterior Brain Tumors: Symptoms and Concerns - Oncology

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Right posterior part of the brain?


I have noticed a small, slightly raised lump on the back of my right brain that does not move.
I hadn't felt it for a while, but recently I have been able to feel it again! When I sleep on my right side, my right hand tends to get numb, and I used to experience frequent pain in my right neck because of this.
However, since I stopped sleeping on my right side, it has improved significantly.
Recently, though, I have been experiencing frequent headaches, sometimes pain behind my eyes and in my forehead, and at other times in my neck.
My shoulders also often feel sore! I'm not sure what is going on.
Please help me understand! Thank you! 🙏

Ban, 20~29 year old female. Ask Date: 2017/03/02

Dr. Chen Sirong reply Oncology


Patient: 26 years old, female
1.
I have noticed a small, slightly raised lump on the back of my right brain that does not move.
I hadn't felt it for a while, but recently I have noticed it again.

A: If it comes and goes, it is likely benign.
If there are symptoms, surgical removal may be considered; however, if it is too small, the doctor may not be able to operate.
2.
I often experience numbness in my right hand when sleeping on my right side, which has previously caused pain in my right neck.
Changing my sleeping position has helped, but I have recently been experiencing frequent headaches.
Sometimes the pain is located behind my eyes and in my forehead, and other times it is in my neck.
My shoulders also often feel sore.

A: It is recommended to consult a neurologist to address the headache issues.
Thank you for your inquiry.

Taoyuan Hospital, Dr.
Chen Sih-Rong

Reply Date: 2017/03/02

More Info


When it comes to understanding symptoms related to a right posterior brain tumor, it's essential to consider a variety of factors, including the nature of the tumor, its location, and the associated symptoms you are experiencing. Based on your description, you have noticed a small, non-movable bump on the right side of your head, along with recurrent headaches, neck pain, and shoulder discomfort. These symptoms can be concerning, especially given your history of a brain tumor.

Firstly, the presence of a lump on the head can be indicative of several conditions. It could be a benign growth such as a lipoma (a fatty tumor), a cyst, or even a more serious issue like a tumor. The fact that it is non-movable and has been present for some time warrants further evaluation. While many bumps on the head are harmless, any new or changing mass should be assessed by a healthcare professional.

The headaches you are experiencing can be multifactorial. They may be related to tension, especially if you have been adjusting your sleeping position to alleviate discomfort. The pain radiating from the back of your neck to your shoulders could suggest muscle tension or strain, which is common in individuals who experience chronic pain or discomfort in their neck and upper back. However, headaches that are persistent, change in character, or are associated with neurological symptoms (like vision changes or weakness) should be evaluated promptly.

The symptoms of pain behind the eyes and in the forehead, combined with neck pain, could suggest several possibilities, including tension-type headaches, migraines, or even cervicogenic headaches, which originate from the cervical spine. Given your history of a brain tumor, it is crucial to rule out any potential complications or changes related to the tumor.

In terms of management, it is advisable to consult with a neurologist or a neurosurgeon who can perform a thorough examination and possibly recommend imaging studies, such as an MRI or CT scan, to assess the tumor and any other underlying issues. These imaging studies can help determine if there have been any changes in the tumor size or if there are any new developments that need to be addressed.

In the meantime, you may find relief from your symptoms through conservative measures. These can include:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate headache pain. However, it is essential to use these medications as directed and consult your doctor if you find yourself needing them frequently.

2. Physical Therapy: If muscle tension is contributing to your symptoms, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen and stretch the neck and shoulder muscles, which may help reduce pain.

3. Stress Management: Techniques such as mindfulness, yoga, and relaxation exercises can help manage stress, which may contribute to tension headaches.

4. Sleep Hygiene: Since you mentioned that sleeping on your right side exacerbates your symptoms, consider adjusting your sleep position. Using supportive pillows and maintaining a comfortable sleep environment can improve your overall sleep quality.

5. Regular Follow-ups: Given your medical history, regular follow-ups with your healthcare provider are crucial. They can monitor your symptoms and make necessary adjustments to your treatment plan.

In conclusion, while your symptoms may be related to benign causes, it is essential to seek medical advice to rule out any serious conditions. Early intervention can lead to better outcomes and improved quality of life. Please do not hesitate to reach out to a healthcare professional for a comprehensive evaluation.

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