Persistent bifrontal rhinogenic contact headache

Headache and facial pain may occur by the pressure of two opposing mucosal linings of the nasal cavity even in the absence of inflammatory disease. Anatomical variations such as deviated nasal septum (DNS), spur, concha bullosa, hypertrophied inferior turbinate, medialised middle turbinate and septa...

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Main Authors: Santosh Kumar Swain, Debasmita Dubey
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Clinical and Scientific Research
Subjects:
Online Access:https://journals.lww.com/10.4103/jcsr.jcsr_99_23
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author Santosh Kumar Swain
Debasmita Dubey
author_facet Santosh Kumar Swain
Debasmita Dubey
author_sort Santosh Kumar Swain
collection DOAJ
description Headache and facial pain may occur by the pressure of two opposing mucosal linings of the nasal cavity even in the absence of inflammatory disease. Anatomical variations such as deviated nasal septum (DNS), spur, concha bullosa, hypertrophied inferior turbinate, medialised middle turbinate and septal bullosa are important causes for contact headaches. DNS and spur are commonly found anatomical variations that result in rhinogenic contact headaches. However, S-shaped DNS causing persistent bifrontal headaches is rarely found in clinical practice. Diagnostic nasal endoscopy and computed tomography scans are important tools for the diagnosis of anatomical variations in the nasal cavity causing contact point headaches. Endoscopic resection of the contact point in the nasal cavity is the treatment of choice. We report the case of a 35-year-old woman presenting with a persisting bifrontal headache due to S-shaped DNS contacting with nasal mucosa. This unusual anatomical abnormality was treated by endoscopically assisted resection of the bilateral contact point and the patient was relieved from bifrontal headache.
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spelling doaj-art-bce19787abc0405aa57f4b27ac5d7be12025-01-11T09:45:31ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572024-12-0113Suppl 1S28S3110.4103/jcsr.jcsr_99_23Persistent bifrontal rhinogenic contact headacheSantosh Kumar SwainDebasmita DubeyHeadache and facial pain may occur by the pressure of two opposing mucosal linings of the nasal cavity even in the absence of inflammatory disease. Anatomical variations such as deviated nasal septum (DNS), spur, concha bullosa, hypertrophied inferior turbinate, medialised middle turbinate and septal bullosa are important causes for contact headaches. DNS and spur are commonly found anatomical variations that result in rhinogenic contact headaches. However, S-shaped DNS causing persistent bifrontal headaches is rarely found in clinical practice. Diagnostic nasal endoscopy and computed tomography scans are important tools for the diagnosis of anatomical variations in the nasal cavity causing contact point headaches. Endoscopic resection of the contact point in the nasal cavity is the treatment of choice. We report the case of a 35-year-old woman presenting with a persisting bifrontal headache due to S-shaped DNS contacting with nasal mucosa. This unusual anatomical abnormality was treated by endoscopically assisted resection of the bilateral contact point and the patient was relieved from bifrontal headache.https://journals.lww.com/10.4103/jcsr.jcsr_99_23bifrontal headachedeviated nasal septumrhinogenic contact headachespur
spellingShingle Santosh Kumar Swain
Debasmita Dubey
Persistent bifrontal rhinogenic contact headache
Journal of Clinical and Scientific Research
bifrontal headache
deviated nasal septum
rhinogenic contact headache
spur
title Persistent bifrontal rhinogenic contact headache
title_full Persistent bifrontal rhinogenic contact headache
title_fullStr Persistent bifrontal rhinogenic contact headache
title_full_unstemmed Persistent bifrontal rhinogenic contact headache
title_short Persistent bifrontal rhinogenic contact headache
title_sort persistent bifrontal rhinogenic contact headache
topic bifrontal headache
deviated nasal septum
rhinogenic contact headache
spur
url https://journals.lww.com/10.4103/jcsr.jcsr_99_23
work_keys_str_mv AT santoshkumarswain persistentbifrontalrhinogeniccontactheadache
AT debasmitadubey persistentbifrontalrhinogeniccontactheadache