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If arachnoiditis outer surface of the hemisphere is usually a local headache that defines the area of the process or wearing reperkussivny character, combined with diffuse pain, hypertensive type. A clear overlap between the local and diffuse headache can not be established forever. Especially pronounced hypertensive headaches occur when the posterior fossa arachnoiditis. Combination with their cerebral symptoms with local and pronounced changes in the fundus of the eye pose significant difficulties in the differential diagnosis of arachnoiditis and brain tumors.