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Headache, Fatigue, Neurological Exam Normal. CNS Leukemia?
Question: CNS Leukemia?
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Hello, and thank you in advance. 26 y/o male. I've had a headache and fatigue/cloudiness for around 2 weeks. It comes and goes, and occasionally feels as though it's on just the one side of my head, but also occasionally moves to other places.
Neurological exam was normal.
Head CT w/o contrast was normal.
CBC and other lab tests (CMP, LFT, UA) were completely normal.
I have read that CNS leukemia can present with this kind of headache. What are your thoughts?
====================
Hello, and thank you in advance. 26 y/o male. I've had a headache and fatigue/cloudiness for around 2 weeks. It comes and goes, and occasionally feels as though it's on just the one side of my head, but also occasionally moves to other places.
Neurological exam was normal.
Head CT w/o contrast was normal.
CBC and other lab tests (CMP, LFT, UA) were completely normal.
I have read that CNS leukemia can present with this kind of headache. What are your thoughts?
Hi,
Thanks for writing in.
Leukaemia of the central nervous system is extremely rare (in patients who do not have leukemia and presenting with headache only). I won't consider it as a possibility in your case.
Since all your exams and test results are normal, it is very unlikely that you have a serious disorder.
Given your symptoms, it is more likely that you could be suffering from a simple tension headache or sinusitis. These can be easily differentiated on examination.
Tension headache is usually relieved by tablet aspirin 325 mg as and when required ( upto 4 tablets daily) with food. Additionally, distressing with XXXXXXX breathing and yoga also helps.
Sinusitis would be relieved on steam inhalation and some anti-histaminics like cetrizine. Please see a physician to find out the reason for headache so that appropriate therapy can be started.
Hope I have addressed your concerns. I shall be happy to help you with any further queries that you might have.
Thanks for writing in.
Leukaemia of the central nervous system is extremely rare (in patients who do not have leukemia and presenting with headache only). I won't consider it as a possibility in your case.
Since all your exams and test results are normal, it is very unlikely that you have a serious disorder.
Given your symptoms, it is more likely that you could be suffering from a simple tension headache or sinusitis. These can be easily differentiated on examination.
Tension headache is usually relieved by tablet aspirin 325 mg as and when required ( upto 4 tablets daily) with food. Additionally, distressing with XXXXXXX breathing and yoga also helps.
Sinusitis would be relieved on steam inhalation and some anti-histaminics like cetrizine. Please see a physician to find out the reason for headache so that appropriate therapy can be started.
Hope I have addressed your concerns. I shall be happy to help you with any further queries that you might have.
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Above answer was peer-reviewed by :
Dr. Aparna Kohli
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