Purpose of review

To explain our current understanding of headache attributed to rhinosinusitis, an often inappropriately diagnosed secondary headache.

Recent findings

Recent studies have shown that headache attributed to rhinosinusitis is often over-diagnosed in patients who actually have primary headache disorders, most commonly migraine. Failure to recognize and treat rhinosinusitis, however, can have devastating consequences. Abnormalities of the sinuses may also be treatable by surgical means, which may provide headache relief in appropriately selected patients.

Summary

It is important for the practicing physician to understand how rhinosinusitis fits into the differential diagnosis of headache, both to avoid overdiagnosis in patients with primary headache, and to avoid underdiagnosis in patients with serious sinus disease.

中文翻译：

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头痛和鼻窦炎：综述。

审查目的

解释我们目前对鼻窦炎引起的头痛的理解，鼻窦炎是一种经常被不恰当诊断的继发性头痛。

最近的发现

最近的研究表明，对于真正患有原发性头痛疾病（最常见的是偏头痛）的患者，鼻-鼻窦炎引起的头痛常常被过度诊断。然而，未能识别和治疗鼻鼻窦炎可能会产生毁灭性的后果。Abnormalities of the sinuses may also be treatable by surgical means, which may provide headache relief in appropriately selected patients.

概括

对于执业医师而言，了解鼻鼻窦炎如何与头痛进行鉴别诊断非常重要，既可以避免对原发性头痛患者的过度诊断，也可以避免对严重鼻窦疾病患者的诊断不足。