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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Most frequently sinusitis in children is ethmoidal and maxillary in location by developmental reasons. Local symptoms include nasal obstruction and discharge, local pain and headache. Diagnosis is based on due consideration to signs and symptoms, microscopy, transillumination and x Ray examination. Treatment must be conservative, based on bed rest, analgesics, antibacterials, juditions use of local vasoconstrictor drugs and heat. Chronic forms may need surgical management. Frontoethmoidal mucocele and frontal osteomyelitis are frequent subjects of pitfalls and acute maxillary osteomyelitis is an important complication.
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PMID:[Sinusitis]. 248 91

In a controlled randomized double-blind trial carried out by 47 physicians in private practice with totally 152 patients with sinusitis the therapeutic success of the following homeopathic drug preparations was investigated: Group A: combination of luffa operculata D4, kalium bicromicum D4 and cinnabaris D3. Group B: combination of kalium bicromicum D4 and cinnabaris D3. Group C: luffa operculata D4. Group D: placebo. Criteria for the therapeutic result were headache, blocked nasal breathing, trigeminal tenderness, reddening and swelling of nasal mucosa and postnasal secretion. There was no remarkable difference in the therapeutic success among the investigated homeopathic drug combinations nor between the active drugs and placebo. Averaged over all four groups 81% of the patients with acute sinusitis and 67% of the patients with chronic sinusitis recovered. In the literature comparable therapeutic results are reported for antibiotic therapy, decongestant nose drops and for the drainage of nasal cavities.
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PMID:[Efficiency of homeopathic preparation combinations in sinusitis. Results of a randomized double blind study with general practitioners]. 266 26

Acute or chronic infections of the sphenoid sinus is often misdiagnosed. The most frequent symptom of sphenoid sinusitis is headache. The character ot the pain is best described as deep seated and dull, however there is no typical localisation. Early diagnosis and mostly a surgical treatment is most important in reducing the morbidity of this disease.
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PMID:[Isolated sphenoid sinusitis]. 267 88

The otolaryngologist is obliged to consider chronic headache attacks because it is probable that people afflicted with chronic headache claim to have "sinusitis" more than any other related chief complaint. While only a small percentage of these patients actually have headaches of sinus etiology, sinusitis must be differentiated from all other forms of headache. Otolaryngologists who are primarily interested in headache may require less consultation with neurologic and neurosurgical colleagues than otolaryngologists who are primarily interested in sinus surgery and the treatment of sinusitis. In any case, all otolaryngologists should be conversant with the causes of headache and well trained in the treatment of headaches, particularly those related to the paranasal sinuses.
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PMID:Paranasal sinus etiology of headaches and facial pain. 268 65

In a multicenter randomized double-blind study, 284 patients with chronic purulent sinusitis were treated with an oral immunostimulant or placebo in addition to standard therapy (antibiotics, mucolytics, inhalants). Treatment lasted for three ten-day periods in three consecutive months. At the start and during the therapy as well as after six months, symptoms were assessed on the basis of a scoring system and the X-rays of the nasal sinuses evaluated. During the course of therapy and the follow-up period, improvement of the major symptoms headache, purulent nasal discharge, cough, and expectoration was statistically significant in the immunostimulant group as compared with the placebo group, objective evidence being provided by the X-ray examinations and the number of reinfections during the period of observation.
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PMID:[Conservative treatment of chronic sinusitis. Success of oral bacterial lysate therapy]. 269 76

This study was designed to test the clinical effectiveness of Broncho-Vaxom (an orally applicable bacterial lysate) in a large number of adult patients suffering from chronic purulent sinusitis. Broncho-Vaxom or placebo was administered to 284 patients presenting with chronic purulent sinusitis within the bounds of a multicentric, randomized double-blind study. Patients were clinically examined before admittance to the study and at 1, 2, 3 and 6 months after treatment initiation (one capsule daily for a period of 10 days per month during 3 consecutive months). The sinuses were x-rayed before and at 3 and 6 months after therapy began. Patients assessed the severity of their symptoms on a scale of 0 to 4: 0 = no symptoms, 1 = light symptoms, 2 = moderate symptoms, 3 = severe symptoms, 4 = very severe symptoms. The average severity score for coughing during the course of Broncho-Vaxom therapy decreased in the third month of treatment from 2.34 before treatment to 0.85, compared to placebo before treatment (2.41) and after treatment (1.24). The score decreased further to 0.61 in the sixth month after the initiation of Broncho-Vaxom therapy, with no further decrease as a result of placebo therapy (1.25). Comparable average score courses for expectorations and headache also occurred. In the first month of Broncho-Vaxom therapy, a decrease was already apparent in the severity of the main sinusitis symptom: purulent nasal discharge. The score was 1.55 in the first month of Broncho-Vaxom treatment compared to 1.80 in the placebo group.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Clinical efficacy of Broncho-Vaxom in adult patients with chronic purulent sinusitis--a multi-centric, placebo-controlled, double-blind study. 269 73

Four patients were referred to our headache unit with characteristic clinical features of cluster headache which was subsequently attributed to other underlying conditions. To the previously reported occurrence of meningioma of the lesser wing of the sphenoid and cerebral arteriovenous malformation, we may now add for the first time two cases of maxillary sinusitis. In addition to accurate history taking, some factors are relevant for the diagnosis of these symptomatic forms of cluster headache, such as the occurrence of neurological abnormalities during or between the attacks; these should prompt the clinician to carry out neuroradiological studies, in spite of the low prevalence of these symptomatic forms in our series of 100 patients. We review the several etiologies reported in the literature, and we discuss the pathogenetical mechanism whereby these conditions may result in a type of headache of such peculiar chronological features.
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PMID:[Symptomatic cluster headache? Apropos of 4 case reports]. 272 6

We treated 31 cases of localized central nervous system infection over a seven-year period in our community hospital. The causes included brain abscess in 18 cases (58%); cranial subdural empyema (CSE) in six cases (20%); spinal epidural abscess (SEA) in four cases (13%); cranial epidural abscess (CEA) in two cases (6%); and spinal subdural empyema (SSE) in one case (3%). Both CSE and CEA were often caused by sinusitis and manifested by fever, headache, altered sensorium, and focal neurologic signs. Treatment consisted of drainage by burr holes or craniotomy followed by long-term administration of parenteral antibiotics. Though all patients with CSE and CEA survived, half had severe residual neurologic deficits. Both SEA and SSE were manifested by fever, spinal pain, and loss of motor function, and both were treated by laminectomy drainage and antibiotic administration. One patient died and three of the other four had residual neurologic deficits or back pain. Diagnosis of CSE and CEA was facilitated by CT scanning, while clinical examination, CT scanning, and myelography were useful in diagnosing SEA; SSE was not suspected preoperatively.
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PMID:Subdural empyema and epidural abscess: recent experience in a community hospital. 288 69

Two-hundred forty-six patients with undiagnosed headache, after unrewarding neurologic evaluation, were referred to an allergy clinic and were evaluated both by routine sinus radiographs and flexible fiberoptic rhinoscopy. Ninety-eight patients had only rhinoscopic evidence of sinusitis (group I), 84 patients had both rhinoscopic and radiographic evidence of sinusitis (group II), and 64 patients had neither rhinoscopic nor radiographic evidence of sinusitis (group III). Antibiotic treatment resulted in relief of headaches in 94% of group I, 75% of group II, and 5% of group III patients. The distribution of sinus infections found by both rhinoscopy and radiography were similar; however, rhinoscopy may have found the disease earlier than radiography. Flexible fiberoptic rhinoscopy is an efficient method for the office diagnosis of sinusitis.
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PMID:Flexible fiberoptic rhinoscopy in the diagnosis of sinusitis. 291 40

Allergic rhinitis in children is often complicated by bacterial sinusitis, which can lead to chronic illness and dysfunction. Sinus disease manifests differently in children than in adults, with cough, rhinorrhea, and middle ear disease being common and pain, headache, and fever being uncommon. Sinusitis may exacerbate asthma, and as many as 70% of children with allergy and chronic rhinitis have abnormal findings on sinus x-ray studies. Nasal cytologic specimens showing large numbers of polymorphonuclear cells with intracellular bacteria are also evidence of sinusitis. Obstruction of the nasal airways by allergic rhinitis or enlarged adenoids can lead to deviations in facial growth, specifically increased facial length. With the removal of the obstruction and a return to nasal breathing, facial length may become more normal. Sinusitis in children is treated with antibiotics, usually for 3 to 4 weeks, to eliminate the infection. Adjunctive therapy with antihistamines, decongestants, cromolyn, and corticosteroids may also be helpful. Topical steroids, such as flunisolide and beclomethasone, can be very useful in pediatric patients. These steroids decrease edema and prevent the release of allergic mediators that may be responsible for an environment favoring the bacterial infection causing sinusitis.
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PMID:The role of nasal airway obstruction in sinus disease and facial development. 305 46


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