Headache is one of the most common somatic symptom in children and adolescents. Even though most of these cases are attributed to primary
headaches there might be a large proportion of rhinological causes for headache which might be overlooked. This study attempts to diagnose the
rhinological causes which were missed during routine examination by paediatricians. Also chronic adenoiditis even though a common condition in
children, adenoiditis as a cause for headache is not commonly described. These pitfalls can be easily corrected by a routine nasal endoscopy as part
of evaluation of chronic headaches in children and instituting the appropriate clinical management.
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