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Clinical Challenges
February 2000

Patients With Headache and Visual Disturbance: A Differentiation Between Migraine and Sinonasal Headache

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2000;126(2):234-235. doi:10.1001/archotol.126.2.234

John Fornadley, MD, states that anterior facial discomfort is usually a manifestation of a headache disorder or underlying sinusitis. His hypothesis states that visual disturbances are helpful in differentiating migraine from sinonasal headache. This is only true for 1 type of migraine: migraine with aura. In his bottom line, Fornadley states that the differentiation of migraine from sinonasal headache must be made in light of the entire symptom complex. I agree with these views.

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