Author:
Cascio Filippo,Stagno d’Alcontres Ferdinando,Nicastro Viviana,Costanzo Daria,Gazia Francesco
Abstract
Rhinogenic headache (RH), arising from nasal and sinus pathologies, present a diagnostic challenge due to their diverse etiologies. This study investigates a unique case where RH coincides with infraorbital nerve dehiscence, delving into the intricate relationship between sinonasal anatomy and neurovascular complications. The infraorbital nerve contacted a cyst in the maxillary sinus. Centripetal endoscopic sinus surgery was performed to open the maxillary sinus and remove the cyst. After 3 months of follow-up, the patient had a notable improvement in symptoms with a reduced headache. This case highlights the significance of considering uncommon anatomic variations, such as infraorbital nerve dehiscence, within the context of RH. Diligent history-taking and appropriate use of radiologic investigations are pivotal for guiding clinicians toward an accurate diagnosis and determining the most appropriate course of treatment.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference21 articles.
1. Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache;Roozbahany;Auris Nasus Larynx,2013
2. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain, Headache Classification Committee of the International Headache Society. International Classification of Headache Disorders;Olesen;Cephalalgia,2004
3. Anatomic variations of paranasal region in migraine;Elvan;J Craniofac Surg,2019
4. A case of an uncommon anatomic variation of the middle turbinate associated with headache;Peric;Acta Otorhinolaryngol Ital,2010
5. Headache of nasal spur origin: an easily diagnosed and surgically correctable cause of facial pain;Gerbe;Headache,1984