Clerico D M, Fieldman R
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia 19104.
Headache. 1994 Apr;34(4):226-9. doi: 10.1111/j.1526-4610.1994.hed3404226.x.
Nasal signs and symptoms commonly accompany cephalgia in some headache syndromes. Head pain associated with sinusitis is also fairly well-recognized. However, referred cephalgia of rhinogenic origin, in the absence of sinonasal symptoms or disease, is poorly understood. We report a case of a patient with chronic and severe headache for whom neurological and neurosurgical evaluation failed to reveal an etiology, but who possessed an intranasal anatomical variant (without sinusitis). Her headache resolved after endoscopic nasal surgery. We discuss the mechanisms of such referred pain, and the recent technological advances that made the diagnosis and treatment of this disorder possible.
在某些头痛综合征中，鼻部体征和症状常伴随头痛出现。与鼻窦炎相关的头痛也已得到相当充分的认识。然而，在没有鼻窦症状或疾病的情况下，源自鼻源性的牵涉性头痛却鲜为人知。我们报告一例慢性重度头痛患者，其经神经科和神经外科评估未能发现病因，但存在鼻内解剖变异（无鼻窦炎）。她的头痛在内镜鼻窦手术后得以缓解。我们讨论了这种牵涉性疼痛的机制，以及使该疾病的诊断和治疗成为可能的最新技术进展。
