Headache and rhinosinusitis: A review

Ceriani, Claire E. J.; Silberstein, Stephen D

doi:10.1177/0333102420959790

Cited by 15 publications

(10 citation statements)

References 73 publications

(173 reference statements)

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“…Postoperative sinusitis is more common due to the opening of the sinuses in the nasal cavity and the need to open the sphenoid sinus for endoscopic resection of pituitary adenomas [26]. Sinusitis can cause headaches [27]. Given that the nasal mucosa is extremely sensitive, the feeling of pain is more obvious after surgery via endoscopic transsphenoidal surgery.…”

Section: Discussionmentioning

confidence: 99%

Sinusitis Independently Predicts the Presence of Headache Following Endoscopic Transsphenoidal Resection for Pituitary Adenomas

Chen

Zou

et al. 2021

Preprint

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Purpose Headache is common among patients with pituitary adenomas undergone endoscopic endonasal surgery (EES), but was seldomly concerned before. The present study aims to investigate the incidence and profile of risk factors of headache after EES.Methods A meta-analysis was performed to evaluate the occurrence proportions of postoperative headache in patients with pituitary adenomas. Then, a cohort of 101 patients undergone EES were enrolled for analyzing risk factors of headache. The Headache Impact Test (HIT-6) was used to score the headache preoperatively, 1 month and 3 months postoperatively. Results A total of 18 studies and 4442 participants were included for meta-analysis. The pooled occurrence proportion of postoperative headache was 29% (95% confidential interval: 20-38%). For the 101 patients enrolled in the present study, 26 (25.74%) of them had a HIT-6 scores of > 55 preoperatively, but decreased to 22 (21.78%) at 1 month, and 6 (5.94%) at 3 months, postoperatively. Multivariate analysis showed that pituitary apoplexy (OR=3.591, 95%CI 1.219-10.575, p=0.020) and Hardy's grade C-D (OR=21.06, 95%CI 2.25-197.02, p=0.008) were independently risk factors for preoperative headache. In contrast, postoperative sinusitis (OR=3.88, 95%CI 1.16-13.03, P=0.028) and Hardy's grade C-D (OR=10.53, 95%CI 1.02-109.19, P=0.049) independently predicted the presence of postoperative headache at 1 month. At 3 months postoperatively, the proportion of sinusitis tended to be higher in the headache group than the one in non-headache group (100% vs. 30.0%, p=0.070). Conclusion Headache is very common following EES for pituitary adenomas. Prophylactic management of postoperative sinusitis may help to alleviate postoperative headache.

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Section: Discussionmentioning

confidence: 99%

Sinusitis Independently Predicts the Presence of Headache Following Endoscopic Transsphenoidal Resection for Pituitary Adenomas

Chen

Zou

et al. 2021

Preprint

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“…There are other conditions that occasionally cause more or less circumscribed pain and should be included in the differential diagnosis of NH; these include temporal arteritis (93), myofascial syndrome (94), rhinosinusitis (95) and trochlear headaches (96). In cases of cutaneous involvement NH must be distinguished from dermatological diseases, such as alopecia areata (97) or nummular dermatitis (98), which do not usually present with pain.…”

Section: Diagnosismentioning

confidence: 99%

Epicranial headaches part 2: Nummular headache and epicrania fugax

Cuadrado

2023

Cephalalgia

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Background Nummular headache and epicrania fugax are two primary headaches that fall under the heading of epicranial headaches. Methods This article reviews the epidemiological and clinical features of nummular headache and epicrania fugax, proposed pathogenic mechanisms and state-of-the-art management, according to the literature. Results and conclusions Nummular headache and epicrania fugax are generally viewed as rare headache disorders, but no population-based epidemiological data are available. Nummular headache is characterized by continuous or intermittent head pain, which remains circumscribed in a round or oval area of the scalp, typically one to six centimeters in diameter. Epicrania fugax manifests with brief paroxysms of pain that move along the surface of the head, following a linear or zigzag trajectory through different nerve territories. Nummular headache and epicrania fugax are mostly primary headaches, but some secondary cases have been reported. The pathogenesis of these headaches is not fully understood. Nummular headache could probably originate in epicranial tissues or adjacent intracranial structures, while the origin of epicrania fugax could be extracranial or intracranial. Diagnostic assessment requires careful examination of the symptomatic areas. Underlying disorders should be excluded by additional investigations, including neuroimaging and appropriate blood tests. No controlled clinical trials have been conducted in nummular headache or epicrania fugax. Analgesics and anti-inflammatory drugs, botulinum toxin and gabapentin are currently the most recommended treatment options for nummular headache. In epicrania fugax, the most used treatments are gabapentin, lamotrigine, and other antiseizure medications.

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“…Treatment of sinus headache is based on the underlying etiology [14 ▪▪ ]. The drug of choice for acute bacterial rhinosinusitis is amoxicillin due to its safety, efficacy, and low cost.…”

Section: Sinus Headachementioning

confidence: 99%

Sinus, disabling tension-type, and temporomandibular joint headaches

Kaniecki

2021

Current Opinion in Neurology

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Purpose of review Clinicians frequently face questions from headache patients regarding the roles played by sinus issues, muscle tension, and temporomandibular joint (TMJ) problems. This review highlights new concepts regarding the diagnosis and management of these headache conditions and their differentiation from migraine. Recent findings Recent research has clarified the roles played by pathology in the paranasal sinuses and TMJ in patients reporting headache. Additional information from physiologic studies in patients with tension-type headache (TTH) has improved the understanding of this condition. Summary Improved understanding of sinus headache, disabling TTH, and TMJ headache and their differentiation from migraine will lead to reductions in unnecessary diagnostic procedures and unwarranted medical and surgical procedures. More expedient recognition of the origin of headache should lead to improved therapeutic outcomes.

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Headache and rhinosinusitis: A review

Cited by 15 publications

References 73 publications

Sinusitis Independently Predicts the Presence of Headache Following Endoscopic Transsphenoidal Resection for Pituitary Adenomas

Sinusitis Independently Predicts the Presence of Headache Following Endoscopic Transsphenoidal Resection for Pituitary Adenomas

Epicranial headaches part 2: Nummular headache and epicrania fugax

Sinus, disabling tension-type, and temporomandibular joint headaches

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