Abstract 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 References 1. Hardy, J.D.; Wolff, H.G.; and Goodell, H.: " The Pain Threshold in Man ," in Pain , Research Publication of the Association for the Study of Nervous and Mental Diseases, Baltimore: Williams & Wilkins Co., 1943. 2. Spriggs, E.: A Clinical Study of Headaches (Croonian Lecture) , Lancet 2:1-8 ( (July 6) ) 1935.Crossref 3. Williams, H.L.: The Syndrome of Physical Allergy of the Head: Myalgia of the Head (Sinus Headache) , Proc Staff Meet Mayo Clin 20:177-183 ( (June 13) ) 1945. 4. Sutherland, A.M., and Wolff, H.G.: Further Analysis of the Mechanism of Headache in Migraine, Hypertension and Fever , Arch Neurol Psychiat 44:929 ( (Nov) ) 1940.Crossref 5. Dysart, R.B.: The Modern View of Neuralgia Referable to Meckel's Ganglion , Arch Otolaryng 40:29 ( (July) ) 1944.Crossref
Archives of Otolaryngology – American Medical Association
Published: Jul 1, 1968
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