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Tumors of the central nervous system (CNS) have protean manifestations. Although they commonly present with focal neurologic findings, they can often be more insidious in onset, with more subtle manifestations. Intracranial tumors (benign or malignant, or supra- or infratentorial) often present with evidence of intracranial hypertension or elevated intracranial pressure. Patients have headache with nausea or vomiting and focal neurologic signs that commonly can result in accurate localization.
Tumor is suspected when a patient presents with focal neurologic findings and headache. Alternatively, a patient without headache may present with focal symptoms and signs that are progressive.
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