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Can Non Hodgkin's Lymphoma Spread To The Brain And Turn Into CNS Lymphoma?

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Posted on Mon, 2 Jun 2014
Question: Can non Hodgkin's lymphoma spread to the brain and turn into CNS lymphoma? Or present itself in the brain in another way? I have min Hodgkin's and and feeling massive head pressure all day long, clogged head feeling and the worst is when I lay my head down at night I have moving pressure, whichever side I lay on the pressure hurts then if I move sides it alleviates it. Worried about a brain bleed or herniation if that's the case. Worried it has spread to the brain. Thank you
doctor
Answered by Dr. dr. Jawahar Ticku (26 hours later)
Brief Answer:
Non Hodgkins Lymphoma of Brain

Detailed Answer:
Dear XXXXXX,
Non Hodgkins lymphoma has very unpredictable nature and can spread to brain as well. Usually it has been observed that before going to brain it can spread elsewhere in other parts of body. N H L can be present as primary lymphoma of brain as well but this is more common in immunocompromised patients like patients suffering from HIV.
You have to rule out other causes of pressure on your head. If you are not hypertensive, your eyesight is normal, you do not have any cervical spine problem and you are not tense about your problem, you are not anemic secondary to the treatment you received for NHL, you should go for MRI of brain to rule out the problem else any one feature as described above if present should be corrected and your problem will wane.
Truly,
Dr. J. Ticku
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. dr. Jawahar Ticku (34 hours later)
Would someone be able to actually feel the pressure in head from the Brain metastisis if it was in fact brain involvement? Non really headaches just pressure when laying on each side, could it be laying on the tumor I causing pressure or if am I way off and you wouldn't be able to "feel" them? I'm worried if there is brain involvement that a bleed or a herniation will happen, can those come on suddenly if something's been pushing on the brain for months? Would there be more
Symptoms than the pressure? That's my last questions thank you.
doctor
Answered by Dr. dr. Jawahar Ticku (27 minutes later)
Brief Answer:
non hodgkins lymphoma.

Detailed Answer:
Dear XXXXXXX,
Thanks for reverting. it is all possible what you say. The symptoms of brain metastasisis depend on the portion of the brain involved with metastasis. Multiple small parenchymal metastasis will be symptomless. Larger metastasis give symptoms because of pressure. It may be associated with severe headache, vomiting, blured vision, speech loss, disorientation, convulsions, paralysis depending upun which area of brain is involved. in your case I feel it is tension headache due to causes I described in yesterdays answer. still to be more wiser it is better to clear your doubt by getting one MRI done.
Truly,
Dr. J. Ticku
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. dr. Jawahar Ticku (22 minutes later)
Thank you again my last question then ill review you and close the question :) what I guess I'm confused at is the pressure is only there when I lay on the side I lay on then the rest of the day head feels clogged. I would not say these are even headaches just pressure. Therefor I am worried about intercrainal buildup or a hernia happening, that's how much I feel the pressure but when I get up it goes away. my last question is if it were to be metastisis from my NHL should I be worried about the pressure causing a bleed or hernia? would those things happen fast or sudden or just pressure when laying isn't going to cause those things? Thanks again. Ill close question after this
doctor
Answered by Dr. dr. Jawahar Ticku (11 hours later)
Brief Answer:
Brain metastasis.

Detailed Answer:
Dear XXXXXX,
Thre is no apprehension of bleed but yes brain herneation does cause pressure symptoms. In your case there is nothing of the sort. Nothing will happen fast. lymphoma is the most chemosensitive disease and after treatment you get a very long remission which we even call cure. causes of pressure on your brain while lying down could be due to many reasons one of which is engourged sinuses and you have even harsh breathing through nostrils
. i again impress upon you if you dont have the symptoms I explained earlier use some over the counter available nasal decongestant and see that you get some relief after lying down.
Truly,
Dr. Ticku
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 490 Questions

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Can Non Hodgkin's Lymphoma Spread To The Brain And Turn Into CNS Lymphoma?

Brief Answer: Non Hodgkins Lymphoma of Brain Detailed Answer: Dear XXXXXX, Non Hodgkins lymphoma has very unpredictable nature and can spread to brain as well. Usually it has been observed that before going to brain it can spread elsewhere in other parts of body. N H L can be present as primary lymphoma of brain as well but this is more common in immunocompromised patients like patients suffering from HIV. You have to rule out other causes of pressure on your head. If you are not hypertensive, your eyesight is normal, you do not have any cervical spine problem and you are not tense about your problem, you are not anemic secondary to the treatment you received for NHL, you should go for MRI of brain to rule out the problem else any one feature as described above if present should be corrected and your problem will wane. Truly, Dr. J. Ticku