Purpose of Review

Although sinus headache has been extensively reviewed and described, misdiagnosis remains common. This paper discusses the myths and truths about sinus headaches.

Recent Findings

Sinus headache is used colloquially to attribute facial pain to allergies or a sinus infection; however, most sinus headaches are migraine. Sinus-region pain from sinusitis and migraine share the same origins in the trigeminovascular system, but their causes are very different. After reviewing sinus anatomy and sinogenic pain, we provide information to assist clinicians in correctly diagnosing patients with the additional goal of avoiding unnecessary investigations and treatments. Migraine medications can be used as both a treatment and a diagnostic tool. Other differential diagnoses of facial pain are discussed.

Summary

Sinus headache is not a diagnosis. All patients with facial pain or pressure with sinus symptoms should be evaluated for migraine because most sinus headache presentations are migraine and require migraine-directed treatment.

中文翻译：

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揭穿神话：窦性头痛

审查目的

尽管窦性头痛已被广泛审查和描述，但误诊仍然很常见。本文讨论了有关窦性头痛的神话和真相。

最近的发现

鼻窦头痛通常用于将面部疼痛归因于过敏或鼻窦感染；然而，大多数窦性头痛是偏头痛。鼻窦炎和偏头痛引起的鼻窦区疼痛起源于三叉神经血管系统，但它们的原因却大不相同。在回顾了鼻窦解剖和窦性疼痛后，我们提供信息以帮助临床医生正确诊断患者，同时避免不必要的检查和治疗。偏头痛药物可用作治疗和诊断工具。讨论了面部疼痛的其他鉴别诊断。

概括

窦性头痛不是诊断。所有出现面部疼痛或压力伴鼻窦症状的患者都应进行偏头痛评估，因为大多数鼻窦头痛表现为偏头痛，需要针对偏头痛进行治疗。