Straburzyński Marcin, Gryglas-Dworak Anna, Nowaczewska Magdalena, Brożek-Mądry Eliza, Martelletti Paolo
Headache Clinic-Terapia Neurologiczna Samodzielni, 02-042 Warsaw, Poland.
Department of Pediatrics and Rare Diseases, Headache Center Wroclaw, Wroclaw Medical University, 51-618 Wroclaw, Poland.
Brain Sci. 2021 Jan 9;11(1):79. doi: 10.3390/brainsci11010079.
'Sinus headache and/or facial pain' (SH) is a common complaint encountered by otorhinolaryngologists, neurologists and general practitioners. However, several studies suggested that the majority of those cases may be attributed to primary headaches (i.e., migraine and tension-type headache (TTH). The purpose of this review is to evaluate the etiology of SH. The first part includes cross-sectional studies analyzing the prevalence of respective diagnoses in subjects with SH. The majority of these publications indicate that migraine and TTH are the most prevalent causes of SH, although most of these studies were conducted in a clinical setting. The second part of this review included treatment trials in subjects with SH. The findings from this part of the review show that SH without rhinosinusitis responds well to pharmacotherapy targeted at primary headaches. This observation further supports a neurologic etiology of the majority of SH cases.
“鼻窦性头痛和/或面部疼痛”（SH）是耳鼻喉科医生、神经科医生和全科医生常见的主诉。然而，多项研究表明，这些病例中的大多数可能归因于原发性头痛（即偏头痛和紧张型头痛（TTH））。本综述的目的是评估SH的病因。第一部分包括横断面研究，分析SH患者中各自诊断的患病率。这些出版物中的大多数表明，偏头痛和TTH是SH最常见的原因，尽管这些研究大多是在临床环境中进行的。本综述的第二部分包括对SH患者的治疗试验。这部分综述的结果表明，无鼻窦炎的SH对针对原发性头痛的药物治疗反应良好。这一观察结果进一步支持了大多数SH病例的神经学病因。
