| Sinusitis in children and adolescents with chronic or recurrent headache: a case-control study. | |
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MedLine Citation:
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PMID: 18219442 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to determine the frequency of misdiagnosis of sinus headache in migraine and other primary headache types in the children and adolescents with chronic or recurrent headaches. Children with chronic or recurrent headaches (n = 310) were prospectively evaluated. Data collection for each patient included history of previously diagnosed sinusitis due to headache, and additional sinusitis complaints (such as fever, cough, nasal discharge, postnasal discharge) at the time of sinusitis diagnosis, and improvement of the headache following treatment of sinusitis. If sinus radiographs existed they were recorded. The study included 214 patients with complete data. One hundred and sixteen (54.2%) patients have been diagnosed as sinusitis previously and 25% of them had at least one additional complaint, while 75% of them had none. Sinusitis treatment had no effect on the headaches in 60.3% of the patients. Sinus graphy had been performed in 52.8%, and 50.4% of them were normal. The prevalence of sinus headache concomitant with primary headache, and only sinus headache was detected in 7 and 1%, respectively, in our study. Approximately 40% of the patients with migraine and 60% of the patients with tension-type headache had been misdiagnosed as "sinus headache". Children with chronic or recurrent headaches are frequently misdiagnosed as sinus headache and receive unnecessary sinusitis treatment and sinus graphy. |
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Authors:
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Nesrin Senbil; Y K Yavuz Gürer; Ciğdem Uner; Yaşar Barut |
Publication Detail:
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Type: Journal Article Date: 2008-01-25 |
Journal Detail:
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Title: The journal of headache and pain Volume: 9 ISSN: 1129-2369 ISO Abbreviation: J Headache Pain Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-18 Completed Date: 2008-06-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940562 Medline TA: J Headache Pain Country: Italy |
Other Details:
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Languages: eng Pagination: 33-6 Citation Subset: IM |
Affiliation:
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Department of Child Neurology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey. senbilon@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Case-Control Studies Child Child, Preschool Chronic Disease / epidemiology Comorbidity Diagnosis, Differential Diagnostic Errors / statistics & numerical data Female Headache Disorders / diagnosis*, epidemiology* Humans Male Migraine Disorders / diagnosis, epidemiology Paranasal Sinuses / physiopathology, radiography Prevalence Recurrence Sinusitis / diagnosis*, epidemiology*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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