Could It Be a Brain Tumor? Head Pain Symptoms - Neurosurgery

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Could it be a brain tumor?


When I shake my head or nod, I feel a painful sensation inside my head as if something is moving around, but I don’t experience any pain when I'm not doing those movements.
The pain is located in the upper back part of my head.
Could this be a brain tumor? I would appreciate your insights, doctor.

Hanwei Zhanshi, 10~19 year old female. Ask Date: 2024/01/28

Dr. Zhang Junwei reply Neurosurgery


It does not appear to be a brain tumor; a follow-up at the neurology outpatient clinic is recommended.

Reply Date: 2024/01/28

More Info


Head pain can be a perplexing and concerning symptom, especially when it is persistent or accompanied by unusual sensations. Your description of feeling as if something is moving inside your head, particularly when nodding or shaking your head, raises important questions about the underlying causes of your discomfort. While it is natural to worry about serious conditions like brain tumors, it is essential to consider a range of possibilities and consult with a medical professional for an accurate diagnosis.

First, let's discuss the characteristics of headaches and their potential causes. Headaches can be classified into primary and secondary types. Primary headaches, such as tension-type headaches and migraines, are not caused by underlying medical conditions. Secondary headaches, on the other hand, result from other health issues, including infections, structural abnormalities, or tumors.

In your case, the sensation of something moving inside your head could be related to several factors. One possibility is that it could be a form of tension headache, which is often associated with muscle tightness in the neck and scalp. This type of headache can create a feeling of pressure or discomfort, and it may be exacerbated by movement. Additionally, if you are experiencing stress or anxiety, this can contribute to muscle tension and, consequently, headache symptoms.

Another consideration is the possibility of sinus-related issues. Sinus headaches can occur when the sinuses become inflamed or congested, leading to pressure and pain in the head. This type of headache may also be aggravated by movement or changes in position.

However, your concern about a brain tumor is valid, especially given the persistent nature of your symptoms. Brain tumors can present with various symptoms, depending on their size and location. Common signs include persistent headaches that may worsen over time, changes in vision, nausea, vomiting, seizures, and neurological deficits. It is important to note that not all headaches are indicative of a brain tumor, and many individuals experience headaches for benign reasons.

Given your symptoms, it is crucial to seek further evaluation from a healthcare professional, preferably a neurologist. They can perform a thorough examination, review your medical history, and may recommend imaging studies such as an MRI or CT scan to rule out any serious conditions, including tumors. These imaging tests are valuable tools in diagnosing structural abnormalities in the brain.

In the meantime, consider keeping a headache diary to track the frequency, duration, and intensity of your headaches, as well as any associated symptoms. This information can be helpful for your healthcare provider in determining the best course of action.

In conclusion, while your symptoms warrant further investigation, it is essential to approach the situation with a balanced perspective. Many headaches are not caused by serious conditions, and with appropriate medical evaluation, you can gain clarity on the underlying cause of your discomfort. Remember, timely intervention and open communication with your healthcare provider are key to managing your symptoms effectively.

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