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[9000440.] رقم البحث : 9000440 - |
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Surgical outcomes for rhinogenic contact point headache. / |
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قطاع الدراسات الطبية / أنف وأذن |
| تخصص البحث : أنف وأذن |
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Menoufia Medical Journal / / Vol. 25, No. 2 - July 2012 |
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د/ ياسر عبدالوهاب محمد خليل ( 106580804 ) |
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Headache- Rhinogenic headache- Contact Headache
Patients and methods: This study included 30 patients with
rhinogenic headache for more than one year and diagnosed to have
sinonasal anatomical variations as deviated nasal septum and
concha bullosa. 5 cases were excluded from the study, these
patients refused surgery. 25 patients (83%) who their ages ranged
from 19 to 43 years were included in this study. 14 patients were
males (46%) and 11 were females (36%) were included in this study.
Results: multiple anatomical variations were noted by endoscopy and
CT scans in thirty patients. These variations included septum
deviation in 22 patients (88%) followed by concha bullosa in 11
patients (44%) then hypertrophied inferior turbinate in 5 patients
(20%). In these 25 patients, 21 cases (84%) showed complete cure,
while 4 cases (16%) showed improvement only.
Conclusion: Minor intranasal anatomical variations may be the cause
of primary headache misdiagnosed as a headache of unknown
etiology. The nasal surgeries in our study has succeeded in
eliminating or significantly reducing such headache attacks. |
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Objective: this study aimed to investigate the role of some anatomical
variations in rhinogenic headache and to evaluate the role of surgery
in management of this headache.
Patients and methods: This study included 30 patients with
rhinogenic headache for more than one year and diagnosed to have
sinonasal anatomical variations as deviated nasal septum and
concha bullosa. 5 cases were excluded from the study, these
patients refused surgery. 25 patients (83%) who their ages ranged
from 19 to 43 years were included in this study. 14 patients were
males (46%) and 11 were females (36%) were included in this study.
Results: multiple anatomical variations were noted by endoscopy and
CT scans in thirty patients. These variations included septum
deviation in 22 patients (88%) followed by concha bullosa in 11
patients (44%) then hypertrophied inferior turbinate in 5 patients
(20%). In these 25 patients, 21 cases (84%) showed complete cure,
while 4 cases (16%) showed improvement only.
Conclusion: Minor intranasal anatomical variations may be the cause
of primary headache misdiagnosed as a headache of unknown
etiology. The nasal surgeries in our study has succeeded in
eliminating or significantly reducing such headache attacks. |
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