A 14-year-old girl presented to the emergency department with an 8-day history of worsening headache and right-sided nasal obstruction. She complained of pain and pressure localized primarily over the right periorbital and temporal region. She reported mild puffiness in the region and associated nausea but denied blurry or double vision, fevers, chills, or epistaxis. Her medical history was significant for type 1 diabetes mellitus, attention-deficit/hyperactivity disorder, and migraine headaches, which are characterized by nonfocal pain lasting no more than 2 days.
Oakley GM, Wiggins RH, Error ME, Meier JD. Radiology Quiz Case 2. JAMA Otolaryngol Head Neck Surg. 2013;139(4):421–422. doi:10.1001/jamaoto.2013.147a