TITLE

Causes of headache in patients with a primary diagnosis of sinus headache

AUTHOR(S)
Foroughipour, Mohsen; Sharifian, Shahriar; Shoeibi, Ali; Ebdali Barabad, Nazanin; Bakhshaee, Mehdi
PUB. DATE
November 2011
SOURCE
European Archives of Oto-Rhino-Laryngology;Nov2011, Vol. 268 Issue 11, p1593
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Headache is a common occurrence among the general population. Although the pain could be a symptom of acute sinusitis, chronic sinusitis is not considered as a usual cause of headache. In addition, autonomic-related symptoms in the sinonasal region may be associated with vascular pain. Confusion regarding these symptoms could lead to an incorrect diagnosis of sinusitis. A prospective cross-sectional study was conducted at two tertiary referral centers with residency programs in otorhinolaryngology, head and neck surgery and neurology. The study included 58 patients with a diagnosis of 'sinus headache' made by a primary care physician. Exclusion criteria were as follows: previous diagnosis of migraine or tension-type headache; evidence of sinus infection during the past 6 months; and the presence of mucopurulent secretions. After comprehensive otorhinolaryngologic and neurologic evaluation, appropriate treatment was started according to the final diagnosis and the patient was assessed monthly for 6 months. The final diagnoses were migraine, tension-type headache and chronic sinusitis with recurrent acute episodes in 68, 27 and 5% of the patients, respectively. Recurrent antibiotic therapy was received by 73% of patients with tension-type headache and 66% with migraine. Sinus endoscopy was performed in 26% of the patients. Therapeutic nasal septoplasty was performed in 16% of the patients with a final diagnosis of migraine, and 13% with tension-type headache. Many patients with self-described or primary care physician labeled 'sinus headache' have no sinonasal abnormalities. Instead, most of them meet the IHS criteria for migraine or tension-type headache.
ACCESSION #
66303453

 

Related Articles

  • GOITER: AN OTORHINOLARYNGOLOGIST EXPERIENCE AT A TEACHING HOSPITAL. Fazal-I-Wahid; Khan, Muhammad Riaz; Khan, Nadar; Khan, Qaisar; Javaid, Muhammad; Haq, Naseemul; Khan, Iftikhar Ahmad // Khyber Medical University Journal;6/30/2014, Vol. 6 Issue 2, p78 

    OBJECTIVES: 1) to study the presentations and findings of fine needle aspiration cytology (FNAC) and histopathology of goiter 2) to study the outcome of surgical procedures for goiter in otorhinolaryngology ward of a teaching hospital. METHODOLOGY: This cross-sectional study was conducted in the...

  • ORL - HNS Training in South Africa. Raychowdhary, Ranjan // Indian Journal of Otolaryngology & Head & Neck Surgery;Apr-Jun2007, Vol. 59 Issue 2, p191 

    An out line of the scheme of training specialists in Otorhinolaryngology-Head and Neck Surgery (ORL - HNS) in South Africa is given and the difference with Indian training discussed

  • Otolaryngology--head and neck surgery. Johns, Michael E.; Niparko, John K. // JAMA: Journal of the American Medical Association;06/18/97, Vol. 277 Issue 23, p1886 

    Reports on scientific advances in the field or otolaryngology--head and neck surgery. Emerging model of genetic changes that lead to head and neck cancer; Risk of cancer in patients who underwent nasopharyngeal irradiation; Linking of impaired hearing and impaired cognition in adults.

  • Otolaryngology--head and neck surgery. Richtsmeier, William J.; Johns, Michael E. // JAMA: Journal of the American Medical Association;6/19/96, Vol. 275 Issue 23, p1838 

    Focuses on advances in otolaryngology--head and neck surgery. Identification of tumors; Recognized association between tobacco use and cancer of the head and neck; Cost-effectiveness of autologous blood transfusion; Newer hearing technologies; Children with congenital ear malformations; Misuse...

  • Acquisition of diagnostic and surgical skills in otorhinolaryngology: a comparison of France and Germany. Oker, Natalie; Escabasse, Virginie; Al-Otaibi, Naif; Coste, Andre; Albers, Andreas // European Archives of Oto-Rhino-Laryngology;Nov2015, Vol. 272 Issue 11, p3565 

    With the coalescing of the European countries, among many others, official initiatives have been launched to propose minimum requirements for Otolaryngology, Head and Neck surgery (ORL) specialty training by creating an European log book. This study was initiated to assess and compare the...

  • Internet Journal of Head and Neck Surgery: Review of articles published in the first three years - Original article. Halder, Sandip K. // Internet Journal of Head & Neck Surgery;2010, Vol. 4 Issue 1, p6 

    Aims and Objectives: To get a perspective of The Internet Journal of Head and Neck Surgery by reviewing and analyzing all the published articles in this journal over the last three years. Materials and Methods: All the articles published in this journal were reviewed from various aspects. The...

  • CSO-HNS Honours Award.  // Journal of Otolaryngology;Dec2000 Supplement 2, Vol. 29, p11 

    The Canadian Society of Otolaryngology-Head and Neck Surgery Honours Award recognizes the contribution of individual members toward the affairs of the Society. Points are awarded for a variety of activities, as listed below, and they are automatically tabulated by the Secretariat. Two (2) points...

  • Bipedicles chest flap: a novel technique for the reconstruction of anterior neck defect. Naghibzadeh, Masoud; Bakhshaee, Mehdi; Irani, Shirin; Haghir, Hossein // European Archives of Oto-Rhino-Laryngology;Apr2013, Vol. 270 Issue 4, p1427 

    This paper presents our surgical technique and the results of using bipedicled superior chest flaps for head and neck reconstructions. The study design consisted of a case series of surgical technique. The study was conducted at tertiary referral centers with otorhinolaryngology-head and neck...

  • Robotic surgery in ear nose and throat. Parmar, Amit; Grant, David G.; Loizou, Peter // European Archives of Oto-Rhino-Laryngology;Apr2010, Vol. 267 Issue 4, p625 

    The arrival of a commercial surgical robotic platform at our institution has raised the question of its application and usefulness within the department of otolaryngology head and neck surgery. In order to answer this question, we sought to perform a qualitative review to examine the evolution...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics