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

Twenty-one cases of Japanese patients exhibiting recurrent attacks of vertigo are reported. Fifteen of the cases are females. The mean age of onset of the vertigo is 30.8 years. In 11 patients, the duration of attacks is less than 10 min. Caloric responses are normal in all patients. Although two patients demonstrate hearing loss, the rest of the patients exhibit no hearing loss. Headaches have been reported in all patients. Eighteen of the patients experience headaches associated with the vertiginous attacks. The clinical features observed in our cases are consistent with a diagnosis of benign recurrent vertigo. Four patients exhibit cranial nerve symptoms which are features of basilar artery migraine. Basilar artery migraine is attributed to a migrainous disturbance of the basilar artery. Benign recurrent vertigo is also ascribed to a migrainous disorder affecting the vestibular system, thus it is a localized clinical manifestation of basilar artery migraine.
Auris Nasus Larynx 1990
PMID:Benign recurrent vertigo in Japanese. 209 99

Chondromas of the nasal septum are rare. A case of chondroma originating in the left side of the nasal septum is reported. The patient, a 61-year-old female, presented bilateral nasal obstruction, headache, and nasal bleeding. The tumor was removed surgically through the transpalatal approach under general anesthesia. No recurrence was noticed after 6 months follow-up.
Auris Nasus Larynx 1987
PMID:Chondroma of the nasal cavity and nasopharynx--a case of chondroma arising from the nasal septum. 344 38

This paper presents two cases of Rouviere node metastasis in carcinoma of the hypopharynx as confirmed by gallium scintigraphy. Invasion of the Rouviere nodes was clarified within six months of the onset of symptoms in both cases. One patient eventually died of intracranial cancerous invasion and the other remains in the terminal stage of cancer with multiple bone metastases. It was hitherto believed that metastases to the Rouviere nodes were extremely difficult to diagnose in the early stages. However, it is now apparent that the neurological signs and symptoms which commonly appear in patients with cancerous invasion of the jugular foramen syndrome facilitate early diagnosis of the disease, the most common symptom being a headache.
Auris Nasus Larynx 1985
PMID:Metastases to the Rouviere nodes and headache. 403 11

We present a case of bilateral eosinophilic granuloma in the temporal bone in a 47-year-old woman, who visited our hospital with a headache and a feeling of occlusion in her left ear. Her left tympanic membrane was slightly turbid and pure tone audiometry revealed mild left sensorineural deafness. CT disclosed a shadow of soft tissue in the left mastoid antrum and mastoid cells, which was indicative of marked destruction of the bone. Because MRI findings led us to suspect otitis media cholesteatoma, a mastoidectomy was performed. The mastoid antrum and mastoid cells were filled with easily bleeding granulation, and there was a wide range of bone deficit in the posterior cranial fossa. Histopathologically, the granulation tissue was an eosinophilic granuloma. Her postoperative clinical progress was good and she was discharged. However 2 months after discharge, she had a feeling of occlusion in the right ear and CT revealed a shadow in the right mastoid antrum and cells. Therefore, right tympanoplasty was performed and the same findings as in the left ear were obtained. A histopathological diagnosis of eosinophilic granuloma was made again. To date, there has been no recurrence.
Auris Nasus Larynx 1999 Jul
PMID:A case of bilateral eosinophilic granuloma in the temporal bone. 1041 44

We report a case of recurrent sphenoid mucocele successfully treated by using a powered instrument under endoscopic control. A 59-year-old male came to our clinic complaining of severe headache, right-side facial numbness (in the areas of the first and second branches of the trigeminal nerve), diplopia, and right blepharoptosis. Computed tomography (CT) imaging revealed opacification and expansion of the sphenoid sinus lesion. The lesion was diagnosed as right-side sphenoid mucocele affecting the functions of the trigeminal (first and second branches), oculomotor, and abducent nerves. Endoscopic drainage of the right-side sphenoid mucocele leads to gradual improvement of these symptoms. Approximately 1 year after the drainage procedure, the size of the enlarged sphenoid sinus ostium had decreased. The patient underwent endoscopic right-side total marsupialization of the sphenoid sinus using a powered instrument. Subsequently, the patient has presented no evidence of recurrent disease after 1 year of follow-up.
Auris Nasus Larynx 2003 Feb
PMID:Powered endoscopic marsupialization for recurrent sphenoid sinus mucocele: a case report. 1254 73

Spontaneous intracranial hypotension (SIH) is a syndrome characterized by orthostatic headache, low cerebrospinal fluid (CSF) pressure without apparent causes for CSF loss, and diffuse pachymeningeal gadolinium enhancement on cranial MRI. Hearing is affected in some patients with SIH. A case of SIH with orthostatic tinnitus is reported. A 51-year-old woman developed a severe headache that was almost completely relieved on recumbency. Cranial MRI with gadolinium infusion showed diffuse enhancement of the dura mater. Radionuclide cisternography demonstrated CSF leaks at the upper and lower thoracic levels. Epidural blood patches at these leak sites alleviated the orthostatic headache, however, orthostatic tinnitus and muffled hearing persisted. Initial audiometry was unremarkable; repeat audiometry performed 6 weeks later demonstrated low-frequency hearing loss in the right ear. Continuous epidural saline infusion for 3 consecutive days was performed; auditory symptoms disappeared 4 weeks thereafter. This case illustrates that orthostatic tinnitus represent intracranial hypotension even in the absence of orthostatic headache. MRI with gadolinium infusion should be carried out in the evaluation of patients with orthostatic tinnitus.
Auris Nasus Larynx 2003 Feb
PMID:Orthostatic tinnitus: an otological presentation of spontaneous intracranial hypotension. 1258 57

We experienced two cases of brain abscess secondary to middle ear cholesteatoma. One, a 61-year-old woman, presented with left otalgia, appetite loss and nausea. The computed tomography obtained on admission revealed a middle ear cholesteatoma. The magnetic resonance image showed the presence of a brain abscess in the cerebellum. The brain abscess was drained and the cholesteatoma was removed using the canal down procedure under general anesthesia. Part of the cholesteatoma invaded the posterior cranial fossa was could not be removed from the otological surgical field. The patient has been under observation as an outpatient for 6 months already and no abnormal signs have been detected. The other patient, a 55-year-old man, was admitted to our hospital for a detailed examination because he had right otalgia and progressive headache. The examination of spinal fluid obtained by lumbar puncture showed marked elevation of the white blood cells count. Computed tomography revealed a middle ear cholesteatoma. The magnetic resonance image obtained on admission showed an area of low-intensity encapsulated by an area of high-intensity in the right temporal lobe. The abscess was drained and the cholesteatoma was removed using the canal down procedure under general anesthesia. The patient has been under observation for 1 year already and has presented no signs of recurrence.
Auris Nasus Larynx 2004 Dec
PMID:Brain abscess secondary to the middle ear cholesteatoma: a report of two cases. 1654 8

Turbinate osteoma is very rare and only three middle turbinate cases have been previously reported in the literature. A case of superior turbinate osteoma has never been reported before. This is a report of a 61-year-old female presenting superior turbinate osteoma with headaches. The osteoma was resected by endoscopic sinus surgery (ESS) and the patient was relieved of headaches.
Auris Nasus Larynx 2005 Sep
PMID:Superior turbinate osteoma: a case report. 1586 55

We report the case of a 57-year-old man complaining of headaches and adult onset seizures. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a process which proved to be a huge frontal sinus mucocele, eroding the posterior wall of the frontal sinus and compressing the left frontal lobe. An osteoplastic flap procedure with cranialization and obliteration of the frontal sinus was performed. The seizures and headache disappeared postoperatively. Clinical manifestations, diagnosis and surgical approaches for grand frontal sinus mucoceles are briefly discussed.
Auris Nasus Larynx 2005 Mar
PMID:Symptomatic epilepsy due to a huge frontal sinus mucocele. A case report. 1588 32

Pseudotumor cerebri is a neurological condition in which patients develop headaches and visual loss that may not be successfully treated with medication. In these cases surgery is indicated, and decompression of the optic nerve is the preferred surgical procedure. We report a case of decompression of the optic nerve performed through an endonasal endoscopic approach in a patient with pseudotumor cerebri where enhancement of visual acuity was successful. To our knowledge, no previous investigators have reported this approach to treat pseudotumor cerebri.
Auris Nasus Larynx 2005 Jun
PMID:Endoscopic decompression of the optic nerve in pseudotumor cerebri. 1591 80


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