What are the symptoms of sinus headaches?
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Symptoms of Sinus Headaches
Sinus Pain and Pressure
One of the primary symptoms of sinus headaches is pain and pressure in the sinus area. This pain is often described as a deep, constant pain in the cheekbones, forehead, or bridge of the nose. The pain usually intensifies with sudden head movements or straining .
Nasal Congestion and Discharge
Patients with sinus headaches frequently report nasal congestion and discharge. This can include a feeling of stuffiness in the nose and the presence of thick, colored mucus. These symptoms are often mistaken for signs of sinus infection but can also be present in other types of headaches, such as migraines .
Facial Pain and Tenderness
Facial pain and tenderness, particularly around the eyes, cheeks, and forehead, are common symptoms of sinus headaches. This tenderness is often exacerbated by touching the affected areas or by bending forward .
Headache with Nasal Symptoms
A significant overlap exists between sinus headaches and migraines, with many patients experiencing headaches accompanied by nasal symptoms such as congestion and rhinorrhea. This overlap can lead to misdiagnosis, as these symptoms are not exclusive to sinus headaches and can also be present in migraines .
Autonomic Symptoms
Autonomic symptoms, such as tearing, redness of the eyes, and swelling around the eyes, can also accompany sinus headaches. These symptoms are due to the involvement of autonomic nerves in the sinus region and can further complicate the diagnosis .
Misdiagnosis and Differential Diagnosis
It is important to note that many patients who believe they have sinus headaches may actually be experiencing migraines. Studies have shown that a high percentage of patients diagnosed with sinus headaches meet the criteria for migraines, highlighting the need for careful differential diagnosis .
Conclusion
Sinus headaches are characterized by pain and pressure in the sinus area, nasal congestion, facial pain, and autonomic symptoms. However, due to the significant symptom overlap with migraines, accurate diagnosis is crucial. Patients experiencing these symptoms should seek a thorough evaluation to ensure appropriate treatment.
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Most relevant research papers on this topic
Sinus headache or migraine? Considerations in making a differential diagnosis
Causes of headache in patients with a primary diagnosis of sinus headache
Prevalence of migraine in patients with a history of self-reported or physician-diagnosed "sinus" headache.
Sinus headache: a clinical conundrum.
Headache Caused by Sinus Disease.
Debunking Myths: Sinus Headache
Headaches and Facial Pain in Rhinology
Sinus Headache: Differential Diagnosis and an Evidence-Based Approach.
Headaches and Disease of the Nose and Paranasal Sinuses
Sinus headaches: avoiding over- and mis-diagnosis
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