Gryglas Anna
Department of Neurology, Gromkovski Voivodship Hospital, Department of Social Pediatrics, Wroclaw Medical University, Wroclaw, Poland.
Curr Neurol Neurosci Rep. 2016 Apr;16(4):33. doi: 10.1007/s11910-016-0631-z.
Allergic rhinitis and migraine remain on the list of the most common diseases affecting adults. Migraines and headaches due to allergic rhinitis are easily confused because the symptoms of both conditions often overlap. Both may occur with sinus headache, nasal congestion, and lacrimation and may worsen with weather changes and exposure to allergens. No precise clinical definition exists for what constitutes a sinus headache, which has always been a diagnostic dilemma. Contrary to popular belief, headache is not a typical symptom of rhinitis. Some studies have shown that up to 90 % of sinus headaches are actually migraines. Nevertheless, patients with self-diagnosed sinus headache self-treat or are treated by primary care physicians and/or otolaryngologists with medications for rhinosinusitis, ignoring the neurogenic causes of the symptoms when most of these patients fulfill diagnostic criteria for chronic migraine. Chronic migraine affects 2 % of the general population and has a significant socioeconomic impact on society, incurring health care costs and diminishing quality of life; therefore, the proper diagnosis and treatment of these headache patients should be a priority.
变应性鼻炎和偏头痛仍然是影响成年人的最常见疾病。变应性鼻炎所致的偏头痛和头痛很容易混淆，因为这两种病症的症状常常重叠。二者都可能伴有鼻窦性头痛、鼻塞和流泪，并且可能随天气变化和接触过敏原而加重。对于什么是鼻窦性头痛，目前尚无精确的临床定义，这一直是个诊断难题。与普遍看法相反，头痛并非鼻炎的典型症状。一些研究表明，高达90%的鼻窦性头痛实际上是偏头痛。然而，自我诊断为鼻窦性头痛的患者会自行治疗，或由初级保健医生和/或耳鼻喉科医生用治疗鼻-鼻窦炎的药物进行治疗，而当这些患者中的大多数符合慢性偏头痛的诊断标准时，却忽略了症状的神经源性病因。慢性偏头痛影响着2%的普通人群，对社会有着重大的社会经济影响，产生医疗保健费用并降低生活质量；因此，对这些头痛患者进行正确的诊断和治疗应成为优先事项。
