The Sinus Headache Explained

Ravindran, M; Baraniuk, James N.

doi:10.1007/s11882-010-0095-1

Cited by 8 publications

(4 citation statements)

References 37 publications

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“…Excessive mucus production in the nasal and sinus cavities causes the feeling of sinus pressure and pain [ 64 ]. The late phase of allergic reaction occurs 4 to 8 h after exposure to an allergen and is associated with constitutional symptoms such as fatigue, malaise, headache, and irritability [ 57 , 64 , 66 , 67 ].…”

Section: Comorbidity and Pathophysiologymentioning

confidence: 99%

Allergic Rhinitis and Chronic Daily Headaches: Is There a Link?

Gryglas

2016

Curr Neurol Neurosci Rep

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Allergic rhinitis and migraine remain on the list of the most common diseases affecting adults. Migraines and headaches due to allergic rhinitis are easily confused because the symptoms of both conditions often overlap. Both may occur with sinus headache, nasal congestion, and lacrimation and may worsen with weather changes and exposure to allergens. No precise clinical definition exists for what constitutes a sinus headache, which has always been a diagnostic dilemma. Contrary to popular belief, headache is not a typical symptom of rhinitis. Some studies have shown that up to 90 % of sinus headaches are actually migraines. Nevertheless, patients with self-diagnosed sinus headache self-treat or are treated by primary care physicians and/or otolaryngologists with medications for rhinosinusitis, ignoring the neurogenic causes of the symptoms when most of these patients fulfill diagnostic criteria for chronic migraine. Chronic migraine affects 2 % of the general population and has a significant socioeconomic impact on society, incurring health care costs and diminishing quality of life; therefore, the proper diagnosis and treatment of these headache patients should be a priority.

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Section: Comorbidity and Pathophysiologymentioning

confidence: 99%

Allergic Rhinitis and Chronic Daily Headaches: Is There a Link?

Gryglas

2016

Curr Neurol Neurosci Rep

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“…The most prevalent headaches in the general population are tension - type (45%), migraine (12%), sinus (3%), and medication overuse headaches (1 - 2%) [3,10,11]. Tension - type (T) headaches are defined by bilateral, pressing or nonpulsatile cephalgia of mild to moderate intensity that may last 30 minutes to 7 days.…”

Section: Introductionmentioning

confidence: 99%

Migraine headaches in Chronic Fatigue Syndrome (CFS): Comparison of two prospective cross-sectional studies

et al. 2011

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BackgroundHeadaches are more frequent in Chronic Fatigue Syndrome (CFS) than healthy control (HC) subjects. The 2004 International Headache Society (IHS) criteria were used to define CFS headache phenotypes.MethodsSubjects in Cohort 1 (HC = 368; CFS = 203) completed questionnaires about many diverse symptoms by giving nominal (yes/no) answers. Cohort 2 (HC = 21; CFS = 67) had more focused evaluations. They scored symptom severities on 0 to 4 anchored ordinal scales, and had structured headache evaluations. All subjects had history and physical examinations; assessments for exclusion criteria; questionnaires about CFS related symptoms (0 to 4 scale), Multidimensional Fatigue Inventory (MFI) and Medical Outcome Survey Short Form 36 (MOS SF-36).ResultsDemographics, trends for the number of diffuse "functional" symptoms present, and severity of CFS case designation criteria symptoms were equivalent between CFS subjects in Cohorts 1 and 2. HC had significantly fewer symptoms, lower MFI and higher SF-36 domain scores than CFS in both cohorts. Migraine headaches were found in 84%, and tension-type headaches in 81% of Cohort 2 CFS. This compared to 5% and 45%, respectively, in HC. The CFS group had migraine without aura (60%; MO; CFS+MO), with aura (24%; CFS+MA), tension headaches only (12%), or no headaches (4%). Co-morbid tension and migraine headaches were found in 67% of CFS. CFS+MA had higher severity scores than CFS+MO for the sum of scores for poor memory, dizziness, balance, and numbness ("Neuro-construct", p = 0.002) and perceived heart rhythm disturbances, palpitations and noncardiac chest pain ("Cardio-construct"; p = 0.045, t-tests after Bonferroni corrections). CFS+MO subjects had lower pressure-induced pain thresholds (2.36 kg [1.95-2.78; 95% C.I.] n = 40) and a higher prevalence of fibromyalgia (47%; 1990 criteria) compared to HC (5.23 kg [3.95-6.52] n = 20; and 0%, respectively). Sumatriptan was beneficial for 13 out of 14 newly diagnosed CFS migraine subjects.ConclusionsCFS subjects had higher prevalences of MO and MA than HC, suggesting that mechanisms of migraine pathogenesis such as central sensitization may contribute to CFS pathophysiology.Clinical Trial RegistrationGeorgetown University IRB # 2006-481ClinicalTrials.gov NCT00810329

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“…They may induce pressure in sensory nerves triggering a recurrent headache. [ 10 ] Vestibular migraine may simulate Meniere’s disease (MD). Yet, most MD patients presented with a headache based on the IHS criteria.…”

Section: Introductionmentioning

confidence: 99%

Problem of headache: A cross-sectional study

Zakaria

2023

Journal of Family Medicine and Primary Care

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Objectives: To assess the medical students, interns, general practitioners, and family physicians’ perception of neurological and otolaryngeal causes of headaches. Materials and Methods: A prospective, qualitative, questionnaire-based cross-sectional study took place. Five hundred and seventy-one senior medical students, interns, general practitioners (GPs), and family physicians from different geographical regions in Saudi Arabia were involved in the study. An online questionnaire is used to estimate the respondents’ knowledge regarding neurological and otolaryngeal causes of headaches. The obtained data were statistically analyzed using SPSS version 21. Results: Five hundred and seventy-one participants were involved in the study. They were 377 females and 194 males with a female-to-male ratio of 1.9:1. Most of them were medical students (69.9%). However, medical interns, general practitioners, and family physicians’ respondents were (17.3%), (7.5%), and (5.3%), respectively. They constituted different geographical regions of Saudi Arabia. An average level of knowledge about headaches was recorded in (55%) of the participants, while (42.7%) had a good level of knowledge about its etiologies. Conclusions: A considerable percentage of the current study population has average knowledge about neurological and otolaryngeal factors of headache. It is advocated that the current national medical curriculum be thoroughly reviewed and clear referral pathways must be established to have better management of these cases.

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The Sinus Headache Explained

Cited by 8 publications

References 37 publications

Allergic Rhinitis and Chronic Daily Headaches: Is There a Link?

Allergic Rhinitis and Chronic Daily Headaches: Is There a Link?

Migraine headaches in Chronic Fatigue Syndrome (CFS): Comparison of two prospective cross-sectional studies

Problem of headache: A cross-sectional study

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