E-ISSN 2149-388X | ISSN 2149-0430
 

Review Article 


Diagnostic Dilemma of Sinus Headache and Migraine

Talal Aljeraisi.

Abstract
This review article aims to clarify and elucidate how to diagnose correctly sinus headache by discussing sinus headache as regards to its epidemiology, clinical picture, radiological investigations, as well as its medical and endoscopic management. The article also will clarify the relationship between a sinus headache and other co-morbidities, namely migraine, facial pain, and allergy, and the differential diagnosis of sinus headache. That sinus headache is not indicating life-threatening health problem, not a common disease, and usually is overrated. Usually the patient and sometimes the physician will attribute the patientís facial pain to a sinus headache, while in fact it is caused by another pathological condition. Sinus headache is better to be diagnosed by exclusion and to be confirmed by nasal endoscopy before rushing into its treatment. Although it is neither sensitive nor specific in cases of chronic rhinosinusinusitis, plain X-ray is beneficial in the diagnosis of acute rhinosinusitis. Computed tomography (CT) is recommended, but it is not conclusive and it is important to know that a CT scan may remain abnormal even after endoscopic sinus surgery. Magnetic resonance imaging (MRI) is excellent and it is the choice option wherever possible. Pharmaceutical treatment of sinus headache should be addressed first before adopting surgery option; and if functional endoscopic sinus surgery (FESS) is chosen, which is the most common type of surgery used, preoperative assessment is very important to reduce complications.

Key words: Headache, sinus, migraine, clinical picture, facial pain


 
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How to Cite this Article
Pubmed Style

Talal Aljeraisi. Diagnostic Dilemma of Sinus Headache and Migraine. Ulutas Med J. 2020; 6(3): 107-118. doi:10.5455/umj.20200507094603


Web Style

Talal Aljeraisi. Diagnostic Dilemma of Sinus Headache and Migraine. http://www.ulutasmedicaljournal.com/?mno=105434 [Access: October 23, 2020]. doi:10.5455/umj.20200507094603


AMA (American Medical Association) Style

Talal Aljeraisi. Diagnostic Dilemma of Sinus Headache and Migraine. Ulutas Med J. 2020; 6(3): 107-118. doi:10.5455/umj.20200507094603



Vancouver/ICMJE Style

Talal Aljeraisi. Diagnostic Dilemma of Sinus Headache and Migraine. Ulutas Med J. (2020), [cited October 23, 2020]; 6(3): 107-118. doi:10.5455/umj.20200507094603



Harvard Style

Talal Aljeraisi (2020) Diagnostic Dilemma of Sinus Headache and Migraine. Ulutas Med J, 6 (3), 107-118. doi:10.5455/umj.20200507094603



Turabian Style

Talal Aljeraisi. 2020. Diagnostic Dilemma of Sinus Headache and Migraine. THE ULUTAS MEDICAL JOURNAL, 6 (3), 107-118. doi:10.5455/umj.20200507094603



Chicago Style

Talal Aljeraisi. "Diagnostic Dilemma of Sinus Headache and Migraine." THE ULUTAS MEDICAL JOURNAL 6 (2020), 107-118. doi:10.5455/umj.20200507094603



MLA (The Modern Language Association) Style

Talal Aljeraisi. "Diagnostic Dilemma of Sinus Headache and Migraine." THE ULUTAS MEDICAL JOURNAL 6.3 (2020), 107-118. Print. doi:10.5455/umj.20200507094603



APA (American Psychological Association) Style

Talal Aljeraisi (2020) Diagnostic Dilemma of Sinus Headache and Migraine. THE ULUTAS MEDICAL JOURNAL, 6 (3), 107-118. doi:10.5455/umj.20200507094603