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Rhinogenic contact point headache – Frequently missed clinical entity.pdf

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Rhinogenic contact point headache – Frequently missed clinical entity.pdf

apollo medicine 13 (2016) 169–173 Available online at ScienceDirect journal homepage: /locate/apme Review Article Rhinogenic contact point headache – Frequently missed clinical entity Santosh Kumar Swain a,*, Ishwar Chandra Behera b, Sidharth Mohanty c, Mahesh Chandra Sahu d a Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha ‘‘O’’ Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India b Department of Community Medicine, IMS and SUM Hospital, Siksha ‘‘O’’ Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India c Department of Anesthesia, Apollo Hospital, Bhubaneswar, Odisha, India d Directorate of Medical Research, IMS and SUM Hospital, Siksha ‘‘O’’ Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India article info Article history: Received 11 June 2016 Accepted 4 August 2016 Available online 21 August 2016 Keywords: Anatomical variations Headache Contact point headache Computed tomography abstract Background: There are different anatomical situations inside the nasal cavity leading to rhinogenic contact point headache (RCPH), where each contact point has its own characteristics. The precise excision of contact points by endoscopic approach in patients with RCPH is very effective and could be done carefully in selected patients. This review presents an overview of the current aspects in pathophysiology, clinical pro?le, and management of RCPH. Method: Relevant literature was searched from PubMed, Science direct, and Scopus databases. Results: Headache is a common clinical entity and is nearly universal in the course of everyones life. Pressure of two opposing mucosa in the nasal cavity without evidence of in?ammation can be a cause of headache or facial pain. Minor intranasal anatomical variation leading to mucosal contact point may be an etiological factor for causing headache and often misdiagnosed and forgotten by clinician during evaluation of headache patients and sometimes considered as