Sinus headache is commonly diagnosed when patients have facial pain and pressure accompanying their headache. However, it is not as common as believed; the headache must accompany acute rhinosinusitis, a diagnosis that is based both on clinical and radiologic evidence. Many patients who are diagnosed with sinus headache and treated with antibiotics have a primary headache, usually migraine. In 2013, the International Headache Society revised the criteria for headache caused by rhinosinusitis. However, these criteria may not be valid for sphenoid sinusitis. In this clinical summary, Dr. Wei-Ta Chen of Taipei Veterans General Hospital explains the key points for diagnosis of rhinosinus-related headache and updates pertinent advances in this headache disorder.
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