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Sinusitis and headache

S D Salman1, E E Rebeiz

  • 1Sinus Center, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114, USA.

Le Journal Medical Libanais. the Lebanese Medical Journal
|January 1, 1994
PubMed
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Headache is a common symptom in patients with chronic sinusitis, with many experiencing pressure-like pain linked to sinus inflammation. Surgery for chronic sinusitis can resolve headaches in a significant number of patients.

Area of Science:

  • Otolaryngology
  • Neurology
  • Radiology

Background:

  • Chronic sinusitis often presents with complex symptoms, including headache.
  • Headache is a frequent complaint in patients with refractory sinusitis.
  • The precise relationship between sinusitis and headache requires further elucidation.

Purpose of the Study:

  • To investigate the prevalence and characteristics of headaches in patients with chronic sinusitis undergoing surgery.
  • To determine if surgical intervention for chronic sinusitis impacts headache symptoms.
  • To explore the potential link between specific sinus pathologies and headache presentation.

Main Methods:

  • A cohort of 207 patients with chronic sinusitis refractory to medical management were included.
  • Patients underwent surgical treatment for their sinusitis.

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  • Headache presence, characteristics, and location were assessed pre- and post-operatively.
  • Clinical examination and computed tomography (CT) scans were used for diagnosis.
  • Main Results:

    • 69% of patients reported headaches associated with chronic sinusitis.
    • Headache pain was typically described as moderate pressure, lasting for hours.
    • Sinusitis diagnosis was confirmed clinically and/or via CT imaging.
    • Discreet sphenoid or ethmoid sinusitis correlated with midline pain.
    • Sinusitis was found to trigger or worsen vascular headaches in some cases.

    Conclusions:

    • Headache is a highly prevalent symptom in surgically treated chronic sinusitis patients.
    • Sinusitis, particularly involving the sphenoid or ethmoid sinuses, can be a direct cause of headache.
    • Surgical management of chronic sinusitis may offer relief for associated headaches.