THE OBSERVATIONS on a female patient aged 34, who was suffering from spells of a peculiar type of headache, provided the stimulus to begin an exhaustive study of similar cases.
This woman suffered from spells of headache which were of several weeks' duration. These headaches were centered around and behind the right eye. During the time of observation, low grade fever, great fatigue and exhaustion developed and lasted for several weeks. There were no pathologic findings in the upper respiratory tract. The sinuses were normal, but on the roof of the nasopharynx, in the region which connects the upper part of the two tori tubarii, were several deep holes. These holes were embedded in a cobwebbed material in the form of folds and were filled with purulent matter during the spells of headache but were empty in the intervals without headache.
I had observed such hole formation several times in
HANS LION. FOLD AND CRYPT FORMATION IN THE NASOPHARYNXAn Anatomic and Clinical Study. Arch Otolaryngol. 1950;51(5):655–666. doi:10.1001/archotol.1950.00700020680002