Rhinogenic Headache in Children and Adolescents

Abstract

Purpose of Review

The purpose of this review is to evaluate and explain our current understanding of rhinogenic headache in the pediatric population.

Recent Findings

One study showed that 40 % of pediatric patients with migraine had previously received an incorrect diagnosis of sinus headache. Two studies found that over 50% of pediatric patients with migraines have associated cranial autonomic symptoms, possibly elucidating the reasons for misdiagnosis. Some case reports demonstrate successful treatment of rhinogenic contact point headache with the surgical resection of mucosal contact points, although this diagnosis continues to be debated.

Summary

Many pediatric patients diagnosed with a sinus-related headache actually meet criteria for primary headache disorders. Primary headache disorders should be considered in pediatric patients with headache and associated rhinologic symptoms. Some literature suggests that mucosal contact point headaches can be surgically treated in children, but the level of evidence is inadequate, and additional robust trials are needed.

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Correspondence to Peter F. Svider.

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This article is part of the Topical Collection on Childhood and Adolescent Headache

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Barinsky, G.L., Hanba, C. & Svider, P.F. Rhinogenic Headache in Children and Adolescents. Curr Pain Headache Rep 24, 7 (2020). https://doi.org/10.1007/s11916-020-0839-0

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Keywords

  • Rhinogenic headache
  • Sinus headache
  • Mucosal contact point headache
  • Pediatric headache