The Sinus Headache Explained英文电子书.pdf

Curr Allergy Asthma Rep (2010) 10:202–209 DOI 10.1007/s11882-010-0095-1 The Sinus Headache Explained Murugan Ravindran James N. Baraniuk Published online: 30 April 2010 # Springer Science+Business Media, LLC 2010 Abstract The concept of a sinus headache is problematic Introduction from neurology, allergology, and rhinology perspectives. It may be considered the final neurological diagnosis of There is a perception that sinus headaches are common, exclusion when criteria for other craniofacial pain but evidence is mixed as to their etiology and preva- syndromes are not met. The International Headache lence. The diagnostic criteria put forth by the Interna- Society definition implicates the presence of acute tional Headache Society for “headache attributed to sinusitis, but this requirement is often not met in practice rhinosinusitis” require a frontal headache, evidence of or with a patient’s perception of the term. Otorhinolar- rhinosinusitis, and remission with appropriate rhinosinu- yngologists have a similar exasperation with this ceph- sitis treatment (Table 1). The clinical evidence may algia but tend to attribute idiopathic, nonallergic include purulence in the nasal cavity, nasal obstruction, rhinopathy as the cause. Allergists often see patients hyposmia/anosmia, and/or fever. Chronic rhinosinusitis is who claim to have a sinus headache but instead have not validated as a cause of headache or facial pain except perennial allergic rhinitis or nonallergic rhinitis. A fresh in cases of acute relapse [ 1]. perspective is required to determine the characteristics, In this article, we discuss the ambiguities of this differential diagnosis,