IN A good many discussions in regard to headache the statement has been made that chronic sinusitis is never the cause.
This position is less misleading than the previous idea that most headaches are due to chronic sinusitis but it unnecessarily sentences some patients to long periods of headache, and may even lead to unnecessary fatalities as doctrinaire internists refuse to consider the possibility that the headache may indicate a frontal or ethmoid sinusitis which may ultimately penetrate the dural defense and reach the arachnoid sac or cerebrum.
Definition of Terms
Headache in this paper is considered to be pain felt to be somewhere within the head. Facial pain and tenderness, especially immediately over the sinuses, with the exception of pain in the forehead, is not included in this category of headache. The pain is classified as suggested by Lewis1 (quoted in Hardy et al) as superficial and deep. Superficial
Williams HL. Vasoatonic Headache Associated With Chronic Maxillary Sinusitis. Arch Otolaryngol. 1968;88(1):95–97. doi:10.1001/archotol.1968.00770010097019
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