Migraine, Brain Tumor and Seizure: a Differential Diagnosis

The television series, House is widely enjoyed byenvironmental, chemical, hormonal or behavioral.
millions of viewers all over the world. The concept ofOn the other hand, seizures are caused by abnormal
the show revolves around a brilliant diagnostician andelectric activity in a group of brain cells. Causes of
his team of doctors who try to determine the illnessbrain tumors are still undetermined. However, some
of their patients to be able to provide thestudies show that a higher predominance of this
appropriate treatment. The method they utilize tocondition is observed among those whose work
uncover the mysteries of the patient's condition isinclude making contact with or exposure to
called differential diagnosis. In the field of medicinehigh-chemical content substances. Just by
and health, conducting a differential diagnosis is veryobservation, the differences among the three
necessary since several illnesses may display similarconditions cannot be easily determined. This is the
symptoms. A differential diagnosis is therefore donereason why medical tests or evaluations are needed
by observing the various symptoms manifested by ato be further done in the hope of acquiring more
patient; doing different types of medicalevidences that would lead or point to a certain
examinations; and by interviewing the patient or hiscondition. Among the tests that can be done are
family regarding personal, medical and social histories.magnetic resonance imaging (MRI), CT scan and
The main goal, therefore, of having a differentialelectroencephalography (EEG). Conducting MRI and
diagnosis is to avoid medical malpractice and toCT scan will show any abnormal cell growth within
provide quality treatments for patients.the brain while EEG recordings will determine unusual
As mentioned earlier, several medical problems orelectrical activity in the brain. Any anomalies observed
illnesses may show similar symptoms oramong the tests mentioned can rule out that the
manifestations. This makes it more difficult for peopleheadaches due to migraine alone. However, when
and even physicians to identify treatment that shouldresults of those tests indicate normal activity or
be provided. Such can be the case in conditions suchconditions, conclusions still cannot be made. Further
as migraines, brain tumors, and seizure disorders.observation of the symptoms manifested needs to
Among persons who suffer from migraine, it is ofbe done.
great importance to be knowledgeable of the causesThough a lot of symptoms among migraines, brain
and symptoms of this particular condition in relationtumors and seizures are similar, there are also certain
to other illnesses such as brain tumors and seizuredifferences which can be a main lead during
disorders that exhibit similar symptoms. Knowing thedifferential diagnosis. Experiences of seeing auras
differences among the said medical conditions will helpusually occur only among those who have migraines
people to better understand and appreciate migraineand seizures. People with brain tumors do not usually
remedies.have this. Existence of aura, therefore, can possibly
The main similarity between migraines, brain tumorsrule out having brain tumors. Also, unlike symptoms
and seizures is that all of these conditions affect theof migraines and seizures which are episodic,
neurological system. These conditions should be givensymptoms of brain tumors happen more consistently.
proper attention since these ailments affect the brain.Symptoms of migraine such as headaches or feeling
Common manifestations or symptoms of migraines,of nausea usually last from three hours to several
brain tumors and seizures include: headache, aura,days while those of seizures are usually of shorter
nausea, vomiting, problems with vision, weakness,duration only. Thus, suspicion of possible migraine
changes in mood or behavior and negative reactionscondition can be more strongly supported when the
towards certain sensations (sight, hearing, smell,symptoms remain for a long time.
movement). Migraine headaches may, therefore, alsoDifferential diagnosis, however, though recommended
be a result of abnormal electro-physiologicto be understood and applied by common people, are
synchronization which occurs in seizures or maybemore valid when done by certain professionals such
because of a damage in a particular tissue in the brainas doctors. Upon arriving to a certain conclusion, they
due to tumors. To identify the root of the problem isare also the ones who can effectively prescribe the
to determine the possible causes.appropriate medication, remedy or management for
A situation similar to this is when a child manifests athe condition. In some instances, there is an overlap
difficulty in repeating words which can be a result ofbetween the medications of seizures and migraine
either difficulty in hearing, difficulty in moving theremedies. Among these are depakene, depakote
parts involved in talking or difficulty in understandingtopiramate and topamax. However, certain treatment
or processing the instruction which is to repeat theonly react effectively to the corresponding illness
words.that they are made for. Also, aside from having no
Migraine is said to be caused by a possible disorder incurative effects at all on the condition, taking the
the serotonergic control system. Serotonin is awrong medication could even worsen the problem.
neurotransmitter in the brain which regulatesThus, a thorough investigation of the situation should
emotions such as anger and aggression, mood,really be done to conduct a highly
appetite, sexuality and vomiting. Another cause ofevidence-supported differential diagnosis and, as a
migraines can be attributed to the exposure to orresult, allow doctors to identify the appropriate
withdrawal of certain “triggers” which can betreatment.