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Differenzialdiagnose von Kopfschmerzen in der HNO-Heilkunde

Differential diagnosis of headaches in otorhinolaryngology

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Zusammenfassung

Aufgrund der Vielfalt unterschiedlichster Gesichts- und Kopfschmerzen ist eine differenzialdiagnostische, fächerübergreifende Erhebung und Zuordnung der Schmerzsymptome zur Festlegung des Behandlungs- und Therapiekonzepts unerlässlich. Voraussetzung hierfür ist eine für den HNO-Bereich adaptierte Einteilung der verschiedenen Schmerzen im Kopf- und Halsbereich in Anlehnung an die Klassifikation der International Headache Society (IHS). In dem vorliegenden Beitrag werden die idiopathischen, symptomatischen sowie neuralgischen Gesichts- und Kopfschmerzen unter HNO-ärztlichen Gesichtspunkten differenziert und nach deren Lokalisation eingeteilt. Dies ermöglicht dem HNO-Arzt eine vereinfachte, zielgerichtete Diagnosestellung mit den daraus resultierenden Behandlungsmöglichkeiten.

Abstract

Facial pain and headaches are heterogeneous, therefore, a differential diagnosis, interdisciplinary survey and mapping of the pain symptoms are essential for determination of treatment concepts. This requires an otorhinolaryngology (ENT) adapted zoning of the various pains in the head and neck in line with the classification of the International Headache Society (IHS). In this review, idiopathic, symptomatic and neuralgic facial pain and headaches will be differentiated and classified according to their location from the ENT medical point of view. This provides otolaryngologists with a simplified, targeted diagnosis and subsequent indication for therapy.

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Authors and Affiliations

  1. Hals-Nasen-Ohren-Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    K. Zaoui, P.S. van de Weyer, P.K. Plinkert & I. Baumann

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  1. K. Zaoui
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  2. P.S. van de Weyer
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  3. P.K. Plinkert
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  4. I. Baumann
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Correspondence to K. Zaoui.

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Zaoui, K., van de Weyer, P., Plinkert, P. et al. Differenzialdiagnose von Kopfschmerzen in der HNO-Heilkunde. HNO 59, 645–650 (2011). https://doi.org/10.1007/s00106-011-2268-1

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  • DOI: https://doi.org/10.1007/s00106-011-2268-1

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