Headaches:
(1) new onset of headache that is persistent and/or unexplained
(2) headache with vomiting that causes early morning waking
(3) headache with vomiting that occurs on waking
(4) headache that is becoming progressively more severe
(5) postural-related headache
(6) headache with pulse-synchronous tinnitus
Other neurological findings:
(1) new-onset of seizures
(2) cranial nerve palsy
(3) visual disturbances
(4) unexplained gait abnormalities
(5) unexplained motor and/or sensory findings
(6) unexplained deterioration in school and/or athletic performance
(7) unexplained behavioral and/or mood changes (personality change)
(8) reduced level of consciousness (drowsiness, etc)
(9) change in memory
Additional findings if < 2 years old:
(1) bulging fontanelle
(2) persistent vomiting
(3) abnormal increase in head size
(4) poor feeding with failure to thrive
(5) abnormal eye movements or lack of visual following
(6) arrest or regression in motor development
The absence of papilledema does not exclude the possibility of a brain tumor.
