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Symptoms » Brain swelling » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Brain swelling

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Brain swelling. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. When did the brain swelling (hydrocephalus) first become evident? If at birth or at a few months of age must consider congenital malformation (e.g. Arnold-Chiari malformation, Dandy-Walker Syndrome, Congenital stenosis of the Aqueduct of Sylvius). If in an older and previously normal child, must consider a posterior fossa brain tumor e.g. medulloblastoma, astrocytoma and ependymoma
  2. What was the rapidity of onset of brain swelling?
  3. What was the rate of progression of brain swelling?
  4. What is the developmental progress in the baby or child?
  5. Is there a history of head injury?

    Why: must consider possibility of subdural haematoma as cause of brain swelling.

  6. Is there evidence of dwarfism?

    Why: head enlargement may be more apparent than real as there is often a disproportionately large head in relation to the body.

  7. Medications?

    Why: steroid therapy and oral contraceptive pill may cause benign intracranial hypertension.

  8. Family history?

    Why: of similar illness in older sibling.

  9. Obstetric history?

    Why: possible intrauterine infection; nature of delivery (subdural hemorrhage as a complication of forceps delivery or premature delivery can cause later brain swelling).

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Are there symptoms of brain swelling?

    Why: e.g. In a baby is there failure to thrive in baby, delayed developmental gains, poor head control in baby, poor feeding, or irritability?. In older children are there changes in behavior, a clumsy gait, abnormal speech, tremor and poor co-ordination?. In adults there may be headache, vomiting, blurry vision and poor co-ordination in movement.

  2. Vomiting excessively?

    Why: may suggest brain swelling has occurred and progressed more rapidly.

  3. Neurological symptoms?

    Why: e.g. poor co-ordination of movement, tremor, seizures.

  4. Symptoms of meningitis or encephalitis?

    Why: may suggest cause of brain swelling.

  5. Symptoms of normal pressure hydrocephalus?

    Why: usually in elderly and include dementia, urinary incontinence and apraxia (poor ability to perform voluntary movements).

  6. Symptoms of Benign intracranial hypertension?

    Why: usually in obese young women and include menstrual irregularities and blurriness of vision.


 » Next page: Types of Brain swelling

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