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Headache and rhinosinusitis: A review
Claire Ej Ceriani1, Stephen D Silberstein1
1Jefferson Headache Center, Philadelphia, PA, USA.
Cephalalgia : an International Journal of Headache
|September 21, 2020
Summary
Headache attributed to rhinosinusitis is often misdiagnosed as migraine. Accurate diagnosis is crucial to avoid consequences of untreated sinusitis or unnecessary treatments for primary headaches.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Headache attributed to rhinosinusitis is a secondary headache disorder.
- This condition is frequently misdiagnosed, often being mistaken for primary headache disorders like migraine.
Purpose of the Study:
- To clarify the current understanding of headache attributed to rhinosinusitis.
- To differentiate it from primary headache disorders and highlight the importance of accurate diagnosis.
Main Methods:
- Review of recent studies and clinical literature.
- Analysis of diagnostic criteria and clinical presentation.
Main Results:
- Headache attributed to rhinosinusitis is over-diagnosed, with many patients actually having primary headaches, commonly migraine.
- Untreated rhinosinusitis can lead to severe complications.
- Sinus surgery may benefit selected patients with sinus abnormalities and headache.
Conclusions:
- Physicians must understand rhinosinusitis in headache differential diagnosis to prevent misdiagnosis.
- Accurate diagnosis avoids over-treatment of primary headaches and under-treatment of serious sinus disease.
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