A 30-year-old man presents to you with a chronic history of a headache that has worsened significantly in the last week. Investigations for the same problem 9 months ago ruled out sinus disease. He is concerned that this may be due to a brain tumor. Several relatives have died of various types of cancer. No history of definite head trauma, although he has had various sporting injuries. There is no other history of significant illness. On careful questioning, the headache is reported to be present on waking and worsens on coughing.
On examination, there is papilloedema on examination of the eyes but no focal neurology is demonstrated. The examination is otherwise normal. A headache is a common problem. What red flag symptoms help to decide on investigations? Suggest the treatment. Source: Cases in Radiology *This case is from Docplexus editorial team for educative purpose only.
