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- Title
CLINICAL EVALUATION OF MISDIAGNOSED CHRONIC HEADACHE.
- Authors
DURSUN, Engin; SAGLAM, Omer; CETIN, Bilal; KARAPINAR, Ugur
- Abstract
OBJECTIVE: This study aims to review the chronic headache in patient who were generally were misdiagnosed as sinusitis, including symptomatology, clinical and radiological findings. MATERIAL AND METHOD: The study was conducted among patients suffering from headache that referred by other specialists to the otorhinolaryngology-head and neck surgery department of KasimpaĢa Military Hospital in Istanbul during 2012. Several characteristics such as age, duration, localization and type of symptoms, clinical examination and radiologic examinations were determined. Chronic headache was diagnosed with the presence of headache for at least 3 months. Paranasal Sinus CT- scans were performed for screening of sinusitis in all patients. RESULTS: 27 patients presenting with headache and chronic facial pain were included in this study. Common localization of headache: Behind the eyes (n:18), localized to the forehead (n:16), bilateral supraorbital area (n:12), overhead presses (n:6), trochlear (n:3) and temple (n:3) region. In most case headache was appeared gradually (n:19). Most headaches were recurrent, short-lasting, mild and temporarily disabling headaches. All patients were referred to our neurology department. CONCLUSION: Chronic headaches are one of the most common symptoms of patients and are often misdiagnosed and mistreated as sinus headache by physicians. Neurological disorders that lead to headaches should be considered in any patient presenting with recurrent, shortlasting, mild, unusual and temporarily disabling headache without any associated infectious or noninfectious rhinosinus diseases.
- Publication
Balkan Military Medical Review, 2013, Vol 16, p166
- ISSN
1107-6275
- Publication type
Article