Department of Neurology, Thomas Jefferson University Hospital, Jefferson Headache Center, 900 Walnut Street #200, Philadelphia, PA 19107, USA.
Neurol Clin. 2024 May;42(2S):e1-e13. doi: 10.1016/j.ncl.2024.05.016. Epub 2024 Jun 25.
Headache and rhinosinusitis are 2 of the most common conditions seen in clinical practice. Consider sinusitis in those with new-onset headache, along with nasal congestion, maxillary tooth discomfort, anosmia, cough, or fever. Most chronic and recurring headaches, especially if migraine features are present, are not due to sinus disease, with the possible exception of rhinogenic headache due to nasal contact points. Nasal endoscopy and neuroimaging with computed tomography or MRI can confirm diagnosis and guide treatment with antibiotics, adjuvant therapies and surgery.
头痛和鼻窦炎是临床实践中最常见的两种病症。对于新发头痛伴有鼻塞、上颌牙痛、嗅觉丧失、咳嗽或发热的患者，应考虑鼻窦炎。大多数慢性和复发性头痛，尤其是如果存在偏头痛特征，则不是由于鼻窦疾病引起的，除非由于鼻接触点引起的鼻源性头痛。鼻内窥镜检查和计算机断层扫描或磁共振成像的神经影像学检查可以确认诊断，并指导抗生素、辅助治疗和手术治疗。
