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Schreiber et al^1(p1772) conclude in a recent article that "88% of patients with a history of ‘sinus’ (sic) headache were determined to have migraine-type headache." Their conclusion was largely based on the definition that the authors selected: The International Headache Society rejects chronic sinusitis, but not acute sinusitis, as a cause of headache. Because patients with acute sinusitis were excluded from the study of Schreiber et al,¹ any patient with a headache could not have had a sinus headache by the definition they chose. Therefore, the authors’ conclusion that another source caused the headache was inevitable.

Other authorities take issue with the International Headache Society definition and assert that chronic sinusitis does cause headache. Indeed, the Task Force on Rhinosinusitis of the American Academy of Otolaryngology–Head and Neck Surgery established headache as a diagnostic criterion for chronic sinusitis.² In one study of chronic sinusitis, 83% of patients noted headache, a . . . [Full Text of this Article]

AUTHOR INFORMATION
Alexander C. Chester, MD

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