Rhinopathic Headaches

Clerico, D

doi:10.1007/978-1-4612-0225-7_21

Cited by 3 publications

(3 citation statements)

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“…Several hypotheses have been proposed over the years to illustrate the definite pathophysiology of a primary headache with a possible nasal cause prior to the emergence of nasal endoscopy and CT. [9] Besides their resistance to normal medical measures for treatment of headache, patients with nasal contact point headache usually exhibit endoscopic findings and/or radiological changes in the sinuses in the form of anatomical differences and / or mucosal disease [10] . However, the exact pathophysiology and treatment of nasal contact point headache are still unknown.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Endoscopic Lateral Lamellectomy in Concha Bullosa Induced Rhinogenic Headache

Talaat

Nada

Hamad

2023

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Purpose:To assess the effect of surgical intervention (endoscopic lateral lamellectomy) in relieving the contact point headache induced by Concha bullosa. Patients and Methods: 20 patients with persistant headache for one year or more presented in the period from June 2018 to February 2020. Surgical intervention was done according to C.T nose and paranasal sinuses in each case , bilateral endoscopic lateral lamellectomy was done in 35%, unilateral endoscopic lateral lamellectomy in 65%.Results: In the current study, and according to MIDAS score of headache there was 10% of patient with mild disability (MIDAS Grade II), 50% with moderate disability (MIDAS Grade III) and 40% with sever disability (MIDAS Grade IV) preoperatively, MIDAS score ranged from 8-39 with mean score of 20.3 ± 8.89. 3 months postoperatively all the patients were with little or no disability (MIDAS Grade I), MIDAS score ranged from 0-4 with mean score of 1.7 ± 1.21, the p value is <0.001. Conclusion: Concha bullosa is considered one of the most important factors in the development of contact point rhinogenic headache and this headache can be cured or significantly improved after endoscopic lateral lamellectomy with no or minimal complications providing that accurate selection of the patients and skilled surgeon.

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Section: Discussionmentioning

confidence: 99%

“…However, the exact pathophysiology and treatment of nasal contact point headache are still unknown. [9] Stammberger and Wolf, (1988) noted that many anatomic variations of the nose and paranasal sinuses may cause to headache by narrowing the ethmoid recesses. These anatomic variations, shouldn't be considered disease.…”

Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Lateral Lamellectomy in Concha Bullosa Induced Rhinogenic Headache

Talaat

Nada

Hamad

2023

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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“…These referred headaches can mimic migraine and other vascular‐type headaches 2 . The proposed mechanism involves mucosal contact, which acts as a mechanical stimulus initiating an axon reflex with resultant referred pain 3,4 . Various intranasal abnormalities or anatomical variations have been implicated in this disorder, including enlargement of the ethmoid bulla, 4 septal deviations and spurs, 5 and middle turbinate anomalies 6 .…”

Section: Introductionmentioning

confidence: 99%

Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache

Clerico

1996

The Laryngoscope

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Three patients with typical (common) migraine unresponsive to conventional therapy were evaluated with complete otolaryngologic examination, diagnostic nasal endoscopy, and coronal sinus computed tomography (CT). Enlargement of the superior turbinate due to pneumatization, with accompanying mucosal contact, was found in each case. Application of topical or injected anesthetic to the superior turbinate lessened or relieved headache, and subsequent endoscopic sinonasal surgery succeeded in providing significant headache relief (follow-up of 6 to 14 months). This is the first report of superior turbinate variations/abnormalities causing migraine, or indeed any type of headache. A discussion of the mechanism of referred pain from mucosal contact is offered after a discussion of each case.

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