Department of Neurology, Barrow Neurological Institute c/o Neuroscience Publications, St. Joseph's Hospital and Medical Center, 350 W. Thomas Rd, Phoenix, AZ, 85013, USA.
Curr Neurol Neurosci Rep. 2021 Jun 20;21(8):42. doi: 10.1007/s11910-021-01127-w.
Although sinus headache has been extensively reviewed and described, misdiagnosis remains common. This paper discusses the myths and truths about sinus headaches.
Sinus headache is used colloquially to attribute facial pain to allergies or a sinus infection; however, most sinus headaches are migraine. Sinus-region pain from sinusitis and migraine share the same origins in the trigeminovascular system, but their causes are very different. After reviewing sinus anatomy and sinogenic pain, we provide information to assist clinicians in correctly diagnosing patients with the additional goal of avoiding unnecessary investigations and treatments. Migraine medications can be used as both a treatment and a diagnostic tool. Other differential diagnoses of facial pain are discussed. Sinus headache is not a diagnosis. All patients with facial pain or pressure with sinus symptoms should be evaluated for migraine because most sinus headache presentations are migraine and require migraine-directed treatment.
尽管鼻窦头痛已被广泛研究和描述，但误诊仍很常见。本文讨论了鼻窦头痛的一些误区和真相。
鼻窦头痛通常被用来将面部疼痛归因于过敏或鼻窦感染；然而，大多数鼻窦头痛是偏头痛。鼻窦炎和偏头痛引起的鼻窦区域疼痛在三叉血管系统中具有相同的起源，但它们的病因却大不相同。在回顾鼻窦解剖结构和鼻窦源性疼痛后，我们提供了一些信息来帮助临床医生正确诊断患者，同时也希望避免不必要的检查和治疗。偏头痛药物既可以作为治疗手段，也可以作为诊断工具。还讨论了其他面部疼痛的鉴别诊断。鼻窦头痛不是一个诊断。所有有面部疼痛或鼻窦症状的患者都应该评估偏头痛，因为大多数鼻窦头痛的表现是偏头痛，需要偏头痛针对性治疗。
