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Etiology of ‘Sinus Headache’—Moving the Focus from Rhinology to Neurology. A Systematic Review
Brain Sciences ( IF 3.3 ) Pub Date : 2021-01-09 , DOI: 10.3390/brainsci11010079
Marcin Straburzyński , Anna Gryglas-Dworak , Magdalena Nowaczewska , Eliza Brożek-Mądry , Paolo Martelletti

‘Sinus headache and/or facial pain’ (SH) is a common complaint encountered by otorhinolaryngologists, neurologists and general practitioners. However, several studies suggested that the majority of those cases may be attributed to primary headaches (i.e., migraine and tension-type headache (TTH). The purpose of this review is to evaluate the etiology of SH. The first part includes cross-sectional studies analyzing the prevalence of respective diagnoses in subjects with SH. The majority of these publications indicate that migraine and TTH are the most prevalent causes of SH, although most of these studies were conducted in a clinical setting. The second part of this review included treatment trials in subjects with SH. The findings from this part of the review show that SH without rhinosinusitis responds well to pharmacotherapy targeted at primary headaches. This observation further supports a neurologic etiology of the majority of SH cases.

中文翻译:

“窦性头痛”的病因学-将重点从鼻科学转向神经病学。系统评价

“鼻窦头痛和/或面部疼痛”(SH)是耳鼻喉科医生,神经科医生和全科医生普遍遇到的主诉。但是,一些研究表明,这些病例中的大多数可能归因于原发性头痛(即偏头痛和紧张型头痛(TTH))。这篇综述的目的是评估SH的病因。这项研究分析了SH患者各自诊断的患病率,尽管这些研究大多数是在临床环境中进行的,但大多数这些出版物都表明偏头痛和TTH是SH患病的最普遍原因。 SH受试者的临床试验。该部分综述的结果表明,没有鼻-鼻窦炎的SH对针对原发性头痛的药物治疗反应良好。该观察结果进一步支持了大多数SH病例的神经病因。
更新日期:2021-01-10
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