Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist

Detalhes bibliográficos
Autor(a) principal: Escada, Pedro
Data de Publicação: 2008
Outros Autores: Capucho, Clara, da Silva, Madeira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.413
Resumo: The purpose of this review is to help the specialist in the clinical approach of patients with headaches suspected of being caused by sinusitis, but with this diagnosis not confirmed yet. First, two case reports are presented: one case describing a patient with headaches caused by intranasal mucosal contact point and the other describing a patient with a migraine. In both cases the diagnosis was not possible if it was based only on the judgment of the computed tomography, without considering the essential contribution of clinical history. After that, a systematization of the causes, the mechanisms, the diagnostic criteria and clinical approach of these headaches is presented. In particular, the role of the otolaryngologist in the diagnosis of the migraine, the most prevalent pathology, is underlined. The possibilities of a correct diagnosis and an effective treatment, sometimes a surgical treatment, in the contact point headaches, are emphasized. Finally, the importance of the recognition and of the treatment of sinonasal triggers in the resolution of some migraines is also underlined.
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spelling Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologistDiagnóstico diferencial da “cefaleia sinusal” O papel do otorrinolaringologistaEthmoid sinusHeadache disordersMigraineNasal mucosaPressureSurgeryTurbinatesCefaleiasCirurgiaCornetosEnxaquecaMucosa nasalPressãoSeio etmoidalThe purpose of this review is to help the specialist in the clinical approach of patients with headaches suspected of being caused by sinusitis, but with this diagnosis not confirmed yet. First, two case reports are presented: one case describing a patient with headaches caused by intranasal mucosal contact point and the other describing a patient with a migraine. In both cases the diagnosis was not possible if it was based only on the judgment of the computed tomography, without considering the essential contribution of clinical history. After that, a systematization of the causes, the mechanisms, the diagnostic criteria and clinical approach of these headaches is presented. In particular, the role of the otolaryngologist in the diagnosis of the migraine, the most prevalent pathology, is underlined. The possibilities of a correct diagnosis and an effective treatment, sometimes a surgical treatment, in the contact point headaches, are emphasized. Finally, the importance of the recognition and of the treatment of sinonasal triggers in the resolution of some migraines is also underlined.Este trabalho de revisão pretende orientar o especialista para a abordagem clínica dos doentes com cefaleia suspeita de ser causada por sinusite, mas em que esse diagnóstico não é confirmado. Em primeiro lugar são apresentados dois casos clínicos de cefaleia: um por cefaleia por ponto de contacto da mucosa naso-sinusal, e outro por enxaqueca, nos quais o diagnóstico correcto não era possível se fosse baseado apenas na valorização da tomografia computorizada, sem se considerar a contribuição imprescindível da história clínica. Em seguida é feita uma sistematização das causas, dos mecanismos, dos critérios diagnósticos e da abordagem clínica própria destas cefaleias. Com particular destaque é salientada a utilidade do otorrinolaringologista no diagnóstico da enxaqueca, a patologia mais prevalente. As possibilidades de um diagnóstico acertado e de uma terapêutica eficaz, por vezes cirúrgica, na cefaleia por ponto de contacto da mucosa, são enfatizadas. Por último é sublinhada a importância do reconhecimento e tratamento dos factores desencadeantes de origem naso-sinusal em algumas enxaquecas.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2008-12-24info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.413https://doi.org/10.34631/sporl.413Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 46 No. 4 (2008): Dezembro; 251-256Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 46 Núm. 4 (2008): Dezembro; 251-256Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 46 N.º 4 (2008): Dezembro; 251-2562184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2410https://journalsporl.com/index.php/sporl/article/view/2410/415Escada, PedroCapucho, Clarada Silva, Madeirainfo:eu-repo/semantics/openAccess2024-06-06T12:58:23Zoai:journalsporl.com:article/2410Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:58:23Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
Diagnóstico diferencial da “cefaleia sinusal” O papel do otorrinolaringologista
title Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
spellingShingle Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
Escada, Pedro
Ethmoid sinus
Headache disorders
Migraine
Nasal mucosa
Pressure
Surgery
Turbinates
Cefaleias
Cirurgia
Cornetos
Enxaqueca
Mucosa nasal
Pressão
Seio etmoidal
title_short Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
title_full Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
title_fullStr Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
title_full_unstemmed Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
title_sort Diferencial diagnosis of “sinus headache” The role of the otorhinolaryngologist
author Escada, Pedro
author_facet Escada, Pedro
Capucho, Clara
da Silva, Madeira
author_role author
author2 Capucho, Clara
da Silva, Madeira
author2_role author
author
dc.contributor.author.fl_str_mv Escada, Pedro
Capucho, Clara
da Silva, Madeira
dc.subject.por.fl_str_mv Ethmoid sinus
Headache disorders
Migraine
Nasal mucosa
Pressure
Surgery
Turbinates
Cefaleias
Cirurgia
Cornetos
Enxaqueca
Mucosa nasal
Pressão
Seio etmoidal
topic Ethmoid sinus
Headache disorders
Migraine
Nasal mucosa
Pressure
Surgery
Turbinates
Cefaleias
Cirurgia
Cornetos
Enxaqueca
Mucosa nasal
Pressão
Seio etmoidal
description The purpose of this review is to help the specialist in the clinical approach of patients with headaches suspected of being caused by sinusitis, but with this diagnosis not confirmed yet. First, two case reports are presented: one case describing a patient with headaches caused by intranasal mucosal contact point and the other describing a patient with a migraine. In both cases the diagnosis was not possible if it was based only on the judgment of the computed tomography, without considering the essential contribution of clinical history. After that, a systematization of the causes, the mechanisms, the diagnostic criteria and clinical approach of these headaches is presented. In particular, the role of the otolaryngologist in the diagnosis of the migraine, the most prevalent pathology, is underlined. The possibilities of a correct diagnosis and an effective treatment, sometimes a surgical treatment, in the contact point headaches, are emphasized. Finally, the importance of the recognition and of the treatment of sinonasal triggers in the resolution of some migraines is also underlined.
publishDate 2008
dc.date.none.fl_str_mv 2008-12-24
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.413
https://doi.org/10.34631/sporl.413
url https://doi.org/10.34631/sporl.413
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2410
https://journalsporl.com/index.php/sporl/article/view/2410/415
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 46 No. 4 (2008): Dezembro; 251-256
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 46 Núm. 4 (2008): Dezembro; 251-256
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 46 N.º 4 (2008): Dezembro; 251-256
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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