Purpose of Review

The purpose of this review is to evaluate and explain our current understanding of rhinogenic headache in the pediatric population.

Recent Findings

One study showed that 40 % of pediatric patients with migraine had previously received an incorrect diagnosis of sinus headache. Two studies found that over 50% of pediatric patients with migraines have associated cranial autonomic symptoms, possibly elucidating the reasons for misdiagnosis. Some case reports demonstrate successful treatment of rhinogenic contact point headache with the surgical resection of mucosal contact points, although this diagnosis continues to be debated.

Summary

Many pediatric patients diagnosed with a sinus-related headache actually meet criteria for primary headache disorders. Primary headache disorders should be considered in pediatric patients with headache and associated rhinologic symptoms. Some literature suggests that mucosal contact point headaches can be surgically treated in children, but the level of evidence is inadequate, and additional robust trials are needed.

中文翻译：

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儿童和青少年的鼻源性头痛。

审查目的

这篇综述的目的是评估和解释我们目前对儿科人群鼻源性头痛的理解。

最近的发现

一项研究表明，40％的偏头痛儿科患者先前曾被误诊为窦性头痛。两项研究发现，超过50％的小儿偏头痛患者伴有颅神经自主症状，可能阐明了误诊的原因。一些病例报告表明，通过手术切除粘膜接触点成功治疗了鼻源性接触点头痛，尽管这一诊断仍在争论中。

概要

许多被诊断患有窦性头痛的儿科患者实际上符合原发性头痛疾病的标准。有头痛并伴有流变学症状的小儿患者应考虑原发性头痛疾病。一些文献表明，可以通过手术治疗儿童的粘膜接触点头痛，但证据水平不足，还需要进行其他可靠的试验。