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Paranasal Sinus Disease in Children With Headache
Ronan J Vieira Neto1, Karine C S Teixeira1, Marilisa M Guerreiro1
11 Child Neurology Unit, Department of Neurology, University of Campinas School of Medical Sciences, Campinas, SP, Brazil.
Journal of Child Neurology
|August 24, 2017
Summary
Sinus abnormalities are common in children, regardless of headache presence. Neuroimaging findings of sinus disease do not rule out primary headache diagnoses like migraine in pediatric patients.
Area of Science:
- Pediatric Neurology
- Radiology
- Otolaryngology
Background:
- Sinus headache is frequently misdiagnosed in children.
- This study investigates sinus disease in children with headaches not meeting criteria for sinus-related headaches.
Purpose of the Study:
- To evaluate the frequency of sinus disease in children experiencing headaches.
- To determine if sinus abnormalities on imaging preclude primary headache diagnoses.
Main Methods:
- Prospective study comparing children with headaches to a control group.
- All participants underwent neuroimaging; acute infectious sinus disease was excluded.
- Headache types classified per International Headache Society criteria; Fisher exact test used for analysis.
Main Results:
- 62 children with headaches (mean age 9.7 years) and 41 controls (mean age 7.3 years) were evaluated.
- Sinus abnormalities found in 12 headache patients and 11 controls (p = .469).
- Migraine and tension-type headaches were common diagnoses in the headache group.
Conclusions:
- Sinus abnormalities are frequently observed in pediatric neuroimaging, irrespective of headache symptoms.
- The presence of sinus disease on imaging should not prevent the diagnosis of primary headaches like migraine.
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