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the real question is how do you know you have a brain tumor thats a good question actually most people would say well I had headaches what is very unusual not impossible but its not usual for brain tumor patients to present with headaches the only time they do is if the tumor bleeds into itself causing a sudden increase of the volume of the tumor within the head or if theres a lot of swelling around the tumor or if the tumor obstructs the spinal fluid drainage system causing a buildup of fluid or hydrocephalus so those are the situations in which people with brain tumors really present with headache and the headaches are unique because they usually occur at night while youre sleeping when youre lying down thats when the pressure really begins at night so the people will report that the headache actually awakens them from sleep the headache is usually associated with nausea and vomiting sometimes double vision so these headaches are not your typical own my pain in the back of the