Sphenoid sinusitis, a cause of debilitating headache

Nordeman, Linda; Lucid, Emily Jean

doi:10.1016/0736-4679(90)90449-6

Cited by 9 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pain or paraesthesias in the facial distribution of the fifth nerve and photophobia or eye tearing are suggestive of sphenoid sinusitis. [15][16][17][18][19] Mcauliffe et al [20] studied the sensitivity of the nasal cavities and paranasal sinuses using touch, pressure, and faradic stimulation. The nasal turbinates and sinus ostia were much more sensitive than the mucosal lining of the septum and the paranasal sinuses.…”

Section: Figurementioning

confidence: 99%

Study of Correlation Between Computed Tomography and Nasal Endoscopy in Chronic Headache

Pathania¹,

Jain²,

Saini³

et al. 2015

jebmh

View full text Add to dashboard Cite

To evaluate the correlation between radiological and endoscopic findings in cases of chronic headache. METHODOLOGY: The study includes 300 patients who presented to the OPD of a tertiary level centre with headache. RESULTS: Endoscopic and CT abnormalities were detected in 265/300 (88.3%) patients. Most common abnormality was a septal spur impinging on lateral nasal wall seen in 94 cases (35.4%), followed by inferior turbinate hypertrophy, concha bullosa, accessory maxillary sinus ostium, paradoxical curved middle turbinate, polyposis and frontal osteoma. A majority of patients had associated changes in the sinuses as well. CONCLUSION: The study highlights the correlation between radiological and endoscopic findings of sinonasal disease as a cause of headache. Abnormalities and variations in endonasal anatomy, functional or anatomical or a combination of these variations caused narrowing of OMU, which predisposed patients to sinonasal disease and headache.

show abstract

Section: Figurementioning

confidence: 99%

Study of Correlation Between Computed Tomography and Nasal Endoscopy in Chronic Headache

Pathania¹,

Jain²,

Saini³

et al. 2015

jebmh

View full text Add to dashboard Cite

show abstract

“…1,2,4,5 Headache originating in the sphenoid sinus may be resistant to analgesic treatment with NSAIDs and may require high-dose opioid treatment. 6 We present a case of headache caused by an initially undiagnosed mucocele of the sphenoid sinus. In this case, regular doses of ergotamine tartrate provided remarkable relief of pain for some weeks, but then led to ergotamine-induced headache.…”

mentioning

confidence: 99%

Headache Caused by a Sphenoid Mucocele but Presenting as an Ergotamine‐Induced Headache

et al. 1997

View full text Add to dashboard Cite

In a 65-year-old woman, symptomatic headache caused by a mucocele of the sphenoid sinus led to ergotamine abuse and subsequent ergotamine-induced headache. Since there were no neurological symptoms initially and the patient previously suffered from migraine, the mucocele was not recognized. Only after unsuccessful drug withdrawal therapy and an MRI, was the correct diagnosis made. Surgical removal of the mucocele led to complete relief of headache within 3 weeks. We conclude that ergotamine-induced headache can develop on the basis of symptomatic headache. In spite of the effectiveness of ergotamine tartrate, an MRI should be performed if focal neurological symptoms occur.

show abstract