DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20164431

Incidence of chronic rhinosinusitis in chronic headache: diagnostic criteria

Shilpa Chandrashekar, Sandeep S., T. Shivaram Shetty, Rakesh Balakrishna

Abstract


Background: Chronic rhinosinusitis and vascular headache share similar signs and symptoms, which includes nasal symptoms, facial pain and headache. The aim of the study was to evaluate incidence of chronic rhinosinusitis in patient with vascular headache.

Methods: A group of 100 patients aged between 25-45 who presented to our OPD with complaint of headache were included in our study. Patients were assessed with rhinosinusitis disability index (RSDI) for major and minor criteria of rhinosinusitis.  

Results: The criteria of the American Academy of Otolaryngology—Head and Neck Surgery were applied to diagnose 82 cases of headache attributed to chronic rhinosinusitis.   Out of 100 subjects who were asked to fill the rhinosinusitis disability index 70 subjects (34 men and 36 female) had functional score (F) of 0- 45, physical score (P) of 0-35 and emotional score (E) of 0-25 and total score of 0-105, whereas 12 subjects (5 men and 7 female) had functional score (F) of 0-22, physical score (P) of 0-30 and emotional score (E) of 0-20 and a total score of 0-72.

Conclusions: Out of total 100 patients with headache (62 men and 38 female), 82 subjects (54 male and 28 female) had chronic rhinosinusitis and 18 (10 men and 8 female) had vascular headache.


Keywords


Chronic rhinosinusitis, Vascular headache, Chronic headache

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References


Eross E, Dodick D, Eross M. The Sinus Allergy and Migraine Study (SAMS). Headache. 2007;47:213-24.

Schramm SH, Obermann M, Katsarava Z, Diener HC, Moebus S, Yoon MS. Epidemiological profiles of patients with chronic migraine and chronic tension-type headache. J Headache Pain. 2013;14:40.

Smith TL, Litvack JR, Hwang PH, Loehrl TA, Mace JC, Fong KJ, et al. Determinants of outcomes of sinus surgery: a multi-institutional prospective cohort strudy. Otolaryngol Head Neck Surg. 2010;142:55-63.

DeConde AS, Mace JC, Smith TL. The Impact of Comorbid Migraine on Quality-of- Life Outcomes After Endoscopic Sinus Surgery. Laryngoscope. 2014;124:1750-5.

Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629-808.

Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007;137(3):1-31.

Benninger MS, Ferguson BJ, Hadley JA, Hamilos DL, Jacobs M, Kennedy DW, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003;129:1–32.

Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd edn. Cephalalgia. 2004;24(1):1–160.

Aaseth K, Grande RB, Kvaerner K, Lundqvist C, Russell MB. Chronic rhinosinusitis gives a ninefold increased risk of of chronic headache. Cephalalgia. 2010;30:152-60.

Martin VT1, Fanning KM, Serrano D, Buse DC, Reed ML, Bernstein JA, et al. Chronic rhinitis and its association with headache frequency and disability in persons with migraine: results of the American Migraine Prevalence and Prevention (AMPP) Study. Cephalalgia. 2014;34:336-48.

Shargorodsky J, Bhattacharya N. What is the role of Nasal endoscopy in the diagnosis of Chronic Rhnosinusitis? Larygoscope. 2013;123:4-6.