Intracranial mass

Clinical Features

  • Vary depending on size, location, and nature of mass

Headache Red Flags


  • Sudden onset or accelerating pattern
  • Maximum intensity of pain at onset (i.e. "thunderclap")
  • Worse with valsalva
  • Worse in the morning or at night
  • No similar headache in past
  • Age >50 yr or <5 yr
  • Occipitonuchal headache
  • Visual disturbances
  • Exertional or postcoital
  • Family or personal history of SAH, cerebral aneurysm, or AVM
  • Focal neurologic signs
  • Diastolic BP >120
  • Papilledema
  • Jaw claudication

Clinical Context

Headache in setting of:

Differential Diagnosis

Intracranial Mass


  • Treat specific process
  • Consider seizure prophylaxis
  • See also Management of Elevated Intracranial Pressure


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