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50 year old male with onset of headaches and hot flashes

by wagonman, Aug 26, 2009 08:02AM
have been having lt sided headaches which are worse with postural changes, sneezing etc. Also have hot flashes. CT scan showed osteoma 13mm in lt frontal sinus but also moderate cerebral and cerebellar atrophy. What things would be on your differential list?


This discussion is related to Brain atrophy.
Member Comments (1)

by Dr Rajgopal, Aug 26, 2009 09:59AM
To: wagonman
Hi,
Headaches that worsen on postural changes or sneezing, coughing etc. may be due to increased intracranial pressure. Coughing and sneezing increase the intracranial pressure further. Please consult a neurologist . Your ICP needs to be monitored to confirm the diagnosis. Causes of an increased ICP are brain tumours, brain swelling, increase in venous flow, obstruction to CSF flow or an increased production of CSF. Since you have an  Osteoma, it may be causing the increased ICP and thus headaches. The causes of hot flashes are- Testosterone deficiency or Andropause.  Please consult an endocrinologist for the investigations and diagnosis. Hope this helps you. Take care and regards!
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