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January 1950


Arch Otolaryngol. 1950;51(1):133-143. doi:10.1001/archotol.1950.00700020152015

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Headache and Neuralgia of Nasal Origin.Dr. Lawrence R. Boies, Minneapolis.  The nasal space and, in particular, the accessory sinuses are often blamed for chronic head pain when the cause cannot otherwise be easily explained. This fact apparently accounts for the frequency with which various surgical procedures have been performed within the nose and sinuses to relieve victims of chronic head pain. It is important, therefore, for any physician to know something about the mechanism giving rise to this disorder and its many causes.Headache associated with either decreased or increased intracranial pressure results from traction on or displacement of pain-sensitive intracranial structures and is independent of generalized intracranial pressure changes per se. Brain tumor produces traction chiefly on the large arteries, veins and venous sinuses and on certain cranial nerves. The headache of migraine seems to be due to dilatation and distention of the extracranial and, possibly, the dural branches

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