Clinical Features and ICHD Headache Diagnoses for Patients With Prominent Craniofacial Pain Referred by a Rhinologist to Headache Specialists
Recommended Citation
Ali A, Alayyas O, Singh J, Saleem A, and Craig J. Clinical Features and ICHD Headache Diagnoses for Patients With Prominent Craniofacial Pain Referred by a Rhinologist to Headache Specialists. Clin Neuropharmacol 2025;48(4):118-121.
Document Type
Article
Publication Date
7-1-2025
Publication Title
Clinical neuropharmacology
Abstract
OBJECTIVES: Most patients diagnosed with "sinus headache" are misdiagnosed and mistreated. These patients are often referred to otolaryngology for sinus disease evaluation. However, collaborations between rhinologists and headache specialists for "sinus headaches" have not been investigated. This study aimed to report the clinical features and headache diagnoses of patients referred to headache specialists for prominent craniofacial pain.
METHODS: We conducted a retrospective study of patients presenting with craniofacial pain to rhinologists and subsequently referred to a headache specialist for presumed, nonsinogenic, craniofacial pain. Records from a total of 98 patients were reviewed, and information regarding demographics, gender, nasal endoscopy findings, SNOT-22 (Sino-Nasal Outcome Test-22 questionnaire) score, ICHD (International Classification of Headache Disorders) headache diagnosis, and headache characteristics were extracted.
RESULTS: Nasal endoscopies performed by the rhinologists were normal in 92.7% of patients, edema was noted in 5.2% of patients, and mucopurulence in 2% of patients. The majority of patients described their pain as frontal or frontal-maxillary, dull or throbbing, and moderate to severe. Migraine was the most common final diagnosis in 49.1% of patients and the second most common diagnosis was tension-type headache in 17.3%. The remaining patients were diagnosed with 11 additional ICHD diagnoses.
CONCLUSIONS: Patients referred from a rhinologist to a headache specialist for nonsinogenic craniofacial pain are frequently diagnosed with primary headache disorder, specifically migraine or tension-type headache. Collaboration between specialists may improve diagnostic accuracy and outcomes, although further studies are crucial.
Medical Subject Headings
Humans; Male; Female; Retrospective Studies; Facial Pain; Adult; Middle Aged; Referral and Consultation; Headache; Young Adult; Aged; Adolescent
PubMed ID
40454619
ePublication
ePub ahead of print
Volume
48
Issue
4
First Page
118
Last Page
121
