Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The SSCT findings of the SNP pattern are nearly diagnostic for this entity. SNP is characterized by the major findings of nasal polypoid masses and infundibular enlargement. Patients may also show individual sinus involvement with polypoid masses and/or opacification of the paranasal sinuses without visualization of polypoid masses. The presence of polypoid masses within the sinuses also can be inferred if the major findings are present, especially if there are the minor findings of nasal septal and sinus trabeculae attenuation and bulging of the lateral ethmoid sinus walls. Air/fluid levels are frequent in SNP but do not always indicate acute sinusitis. Patients typically present with nasal stuffiness and rhinorrhea. They often have facial pain and less often headaches. Common associations exist between SNP and atopy (either allergic or nonallergic), asthma, infection, cystic fibrosis, and aspirin intolerance. Therapy may be either medical or surgical, with steroids being the mainstay of the medical treatment. FESS provides a relatively atraumatic means of removing polyps and creating better sinus drainage. Regardless of the type of therapy, recurrences are common, requiring repeated bursts of systemic steroids, nasal steroid maintenance, and frequent additional surgical procedures. Identification of the SNP pattern on SSCT helps the otolaryngologist to institute an appropriate therapy aimed at alleviating symptoms. The SSCT is adequate for evaluation of SNP in the vast majority of cases and serves as a detailed road map for the treating endoscopic surgeon.
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PMID:Sinonasal polyposis. 178 79

Individuals commonly report a multitude of factors or triggers as the cause for the onset of a headache or facial pain. The challenge has always been to understand the many triggers, the diverse symptoms, the chronological characteristics, and the variability of location associated with headache and facial pain. Part I of this article presents theories and hypotheses proposing that the etiology of the final common pathway of headache and facial pain is from pain signals generated within the skull's joints. The model proposes to explain the variability in the triggers, symptoms, chronological aspects, and location known to be associated with headache and facial pain. The evidence to support these theories is clinical and anecdotal at this time. These theories need controlled investigation. A review of the anatomy of the skull's joints is provided. Part II of this article is a step-by-step description of the use of a nasal balloon device for the treatment of skull joint dysfunction. A review of the history and use of this and other methods of skull joint treatment is provided.
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PMID:Skull dysfunction. 181 Jun 71

Temporomandibular (TM) disorders among children are uncommon. Their many etiologies include interferences with the formative process, malocclusion, and muscle disharmony. Facial pain, earache, headache, difficulty with chewing, and joint noise during mandibular function are symptoms. The two year course of a TM disorder that first became symptomatic in a six month old child is described.
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PMID:Temporomandibular disorder in a child. 181 46

Forty-five individuals with long-standing facial pain or headache of muscular origin were randomly allocated into three groups. The first group was treated with acupuncture, the second group received an occlusal splint, and the third group served as controls. Both acupuncture and occlusal splint therapy significantly reduced subjective symptoms and clinical signs from the stomatognathic system. No differences between these two groups were found with regard to treatment effects. It is concluded that acupuncture is an alternative method to conventional stomatognathic treatment for individuals with craniomandibular disorders of muscular origin.
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PMID:Acupuncture in treatment of facial muscular pain. 188 49

The stomatognathic system was assessed in 114 subjects with various types of idiopathic headaches. Stomatognathic system dysfunctions were recognized most frequently in patients with atypical facial pain and headache, and with mixed headache. Much less frequently these dysfunctions were present in patients with migraine or cluster headaches. The obtained results suggest that stomatognathic system dysfunctions should be considered in the pathogenesis of certain headaches.
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PMID:[Evaluation of the status of the stomatognathic system in patients with idiopathic headaches]. 192 63

Temporomandibular joint (TMJ) dysfunction may manifest itself clinically by a variety of presentations ranging from headache, pre-auricular pain or tenderness, otalgia, to mandibular hypomobility. Some symptoms may mimic forms of facial pain such as: temporal arteritis, migraine, cluster headache, trigeminal or glossopharyngeal neuralgias, myofascial pain dysfunction, or muscle contraction (tension) headache. This article will focus on a relatively new diagnostic tool that may be used to examine the TMJ for intracapsular pathology which may be responsible for the presenting patients' symptoms.
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PMID:The role of diagnostic arthroscopy in the management of temporomandibular joint dysfunction. 196 Jul 86

The aim of this study was to assess the short-term effect of occlusal adjustment on craniomandibular disorders. Fifty patients were randomly selected and divided into a treatment (T) and a control (C) group. The initial clinical examination and the follow-up were made by one observer and the occlusal adjustment by another. There were no significant differences between groups with regard to frequency of headaches, facial pain, pain on mandibular function, or duration of headaches and facial pain. Fifty-two percent of the patients in the treatment group and 20% of the patients in the control group reported reduced subjective symptoms overall at follow-up examination. The improvement was statistically significant within the T group and significantly greater than in the C group. There was no significant change within or between groups with regard to frequency of headaches, facial pain, or pain on mandibular movements. There was an almost significant difference between groups after treatment with regard to changes in the number of tender muscles. The results of this study indicate that occlusal adjustment provides a general subjective improvement of craniomandibular disorders.
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PMID:Short-term effect of occlusal adjustment on craniomandibular disorders including headaches. 205 34

An association exists between bruxism, tension headache, and sleep disorders, particularly sleep apnea, in the craniomandibular dysfunction patient. Understanding the relationship of these three entities provides the clinician with valuable information that enhances one's ability to make a differential diagnosis. A review of sleep disorders is presented so that a clearer understanding of them can be gained, with emphasis on obstructive sleep apnea. Current theories regarding bruxism, morning headache, and sleep disorders relate closely to altered muscle activity, altered breathing and fluctuation in oxygen saturation levels, which in turn can contribute to a patient's complaints of various types of facial pain.
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PMID:Tension headache and bruxism in the sleep disordered patient. 207 98

Functional nasal endoscopic surgery has become increasingly popular because of the development of fiberoptic ridge nasal endoscopes. These same nasal endoscopes play an important role in the office diagnosis of nasal and sinus disorders. While not all physicians or medical institutions can afford the cost of nasal endoscopes for nasal sinus surgery, the cost of an office examination set is reasonable and the patient benefits are great. One hundred and fifty consecutive patients with nasal and/or sinus complaints and normal anterior rhinoscopic nasal speculum and posterior rhinoscopic nasopharyngeal examinations were each examined with rigid fiberoptic nasal endoscopy by two physicians to confirm each findings. Nasal endoscopy revealed fifty-eight (38.7%) patients with nasal pathology who had not been seen with traditional anterior and posterior rhinoscopic examination. The pathology found included obstructed natural maxillary sinus ostia and several pathologic disorders in the middle meatus, such as polyps and "synechiae". Many of these patients had seen several physicians and exhibited frustrating longstanding symptoms, some of which included postnasal catarrh, postnasal drainage, headache, facial pain, "sinus", pressure, and congestion. Nasal endoscopy can find nasal and sinus pathology that might easily be missed with routine speculum and nasopharyngeal examination. For patients with unexplained nasal sinus symptoms, the general otolaryngologist might consider rigid nasal endoscopic office examination as part of the routine office examination.
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PMID:The office diagnosis of nasal and sinus disorders using rigid nasal endoscopy. 211 64

While metastatic tumors to the nose and the paranasal sinuses overall are unusual, metastasis to the sphenoid sinus is exceedingly rare. Presented are 26 cases of metastasis to the sphenoid sinus. Seven were treated at UCLA between 1955 and 1988, and 19 additional cases were discovered from a search of the medical literature. The patients ranged from 14 months to 79 years of age. The most common tumor sites from which sphenoid metastases arose were the prostate and the lung. In 11 of the 26 cases, the sphenoid sinus metastasis was the first presentation of malignancy. Patients manifested signs and symptoms that were indistinguishable from those from primary tumors of the sinus. They included headache, facial pain, visual changes, and single or multiple cranial neuropathies. While cure of patients with sphenoid metastasis has not been reported, significant palliation with resolution of morbidity is possible in many patients with radiation therapy. Although metastasis to the sphenoid sinus is an uncommon entity, when present, signs and symptoms relating to this metastasis are frequently the first presentation of disease. As such, patients with sphenoid sinus symptoms suggestive of sphenoid sinus malignancy should be vigorously evaluated for the possibility of primary as well as metastatic tumor of the sinus.
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PMID:The sphenoid sinus--a site for metastasis. 211 58


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