title: Evaluation and management of "sinus headache" in the otolaryngology practice.
abstract: Patients, primary care doctors, neurologists and otolaryngologists often have differing views on what is truly causing headache in the sinonasal region. This review discusses common primary headache diagnoses that can masquerade as "sinus headache" or "rhinogenic headache," such as migraine, trigeminal neuralgia, tension-type headache, temporomandibular joint dysfunction, giant cell arteritis (also known as temporal arteritis) and medication overuse headache, as well as the trigeminal autonomic cephalalgias, including cluster headache, paroxysmal hemicrania, and hemicrania continua. Diagnostic criteria are discussed and evidence outlined that allows physicians to make better clinical diagnoses and point patients toward better treatment options.
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: zara.m.patel@emory.edu.
authors.forename: Zara M
authors.initials: ZM
authors.lastname: Patel
authors.affiliation: North Shore University Hospital, New York University School of Medicine, New York, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Setzen
authors.affiliation: Division of Otolaryngology, Department of Surgery, Zablocki VAMC, Milwaukee, WI, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Poetker
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: DelGaudio
mesh_terms: D003027:Cluster Headache / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003299:Cooperative Behavior; D003937:Diagnosis, Differential; D004724:Endoscopy; D006261:Headache / Q000145:classification / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D033183:Interdisciplinary Communication; D008881:Migraine Disorders / Q000145:classification / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D010036:Otolaryngology; D012220:Rhinitis / Q000145:classification / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D012852:Sinusitis / Q000145:classification / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D018781:Tension-Type Headache / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D051303:Trigeminal Autonomic Cephalalgias / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
keywords: Cluster headache; Headache; Migraine; Rhinogenic headache; Tension headache; Trigeminal autonomic cephalalgias; sinus headache