Isolated Sphenoid Sinusitis – Possible Cause of Headache and Severe Complications

Česká verzia

Authors: P. Schalek ¹; A. Hahn ¹; P. Kalvach ²
Authors place of work: 3. LF UK a FN Královské Vinohrady, Praha: 1ORL klinika ; Neurologická klinika ²
Published in the journal: Cesk Slov Neurol N 2012; 75/108(4): 477-479
Category: Short Communication

Summary

Isolated sphenoid sinusitis is rather a rare disease; its incidence is reported to be between 1–2.7% of all cases of sinusitis. Inflammatory involvement of the anatomical structures immediately adjacent to the sphenoid sinus represents a risk of serious complications that can lead to serious disability or even death. The International Headache Society’s criteria clearly define headache that might be attributed to rhinosinusitis. However, the isolated sphenoid sinusitis stands somewhat out of the criteria and headache is its most typical symptom. We present a retrospective analysis of six patients with an isolated inflammatory process of the sphenoid sinus treated at the ENT Clinic, University Hospital Kralovske Vinohrady over the last four years.

Key words:
sphenoid sinus – rhinosinusitis – headache – migraine

Zdroje

1. Güvenç MG, Kaytaz A, Acar GO, Ada M. Current management of isolated sphenoiditis. Eur Arch Otorhinolryngol 2009; 266(7): 987–992.

2. Ruoppi P, Seppä J, Pukkila M, Nuutinen J. Isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 2000; 126(6): 777–781.

3. Lew D, Southwick FS, Montgomery WW, Weber AL, Baker AS. Sphenoid sinusitis. A review of 30 cases. N Engl J Med 1983; 309(19): 1149–1154.

4. Haimi-Cohen Y, Amir J, Zeharia A, Danziger Y, Ziv N, Mimouni M. Isolated sphenoidal sinusitis in children. Eur J Pediatr 1999; 158(4): 298–301.

5. Cady RK, Dodick DW, Levine HL, Schreiber CP, Eross EJ, Setzen M et al. Sinus headache: a neurology, otolaryngology, allergy and primary care consensus on diagnosis ant treatment. Mayo Clin Proc 2005; 80(7): 908–916.

6. Jones NS. Sinus headaches: avoiding over- and mis-diagnosis. Expert Rev Neurother 2009; 9(4): 439–444.

7. Headache Classification Subcommitee of the International Headache Society. The International Classification of Headache Disorders: 2^nd ed. Cephalgia 2004; 24 (Suppl 1): 9–160.

8. Cady RK, Schreiber CP. Sinus headache or migraine? Considerations in making differential diagnosis. Neurology 2002; 58 (Suppl 6): 10–14.

9. Foroughipour M, Sharifian SMR, Shoeibi A, Barabad NE, Bakhshaee M. Causes of headache in patients with primary diagnosis of sinus headache. Eur Arch Otorhinolaryngol 2011: 268(11):1593–1596.

10. Kwon OK, Kim KS. Headache induced by isolated sphenoid fungal sinusitis: sinus headache? J Headache Pain 2009; 10(6): 473–476.

11. Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 2002; 128(12): 1413–1419.

12. European Position Paper on Rhinosinusitis and nasal Polyps group. European Position Paper on Rhinosinusitis and nasal Polyps (EPOS). Rhinology 2007; 20 (Suppl): 1–136.