Sinonasal Abnormalities on Cranial Magnetic Resonance Imaging in Patients with Tension-Type Headache
Yazarlar (5)
Dr. Öğr. Üyesi Fatma ATALAY Kastamonu Üniversitesi, Türkiye
Doç. Dr. Ayhan Kars Erzincan Binali Yıldırım Üniversitesi, Türkiye
Kübra Topal
Kastamonu Üniversitesi, Türkiye
Birsel Kul
Kastamonu Training And Research Hospital, Türkiye
Arş. Gör. Zeynep Yavuz Hitit Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale)
Dergi Adı European Journal of Rhinology and Allergy
Dergi ISSN 2636-8072 Scopus Dergi
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce Basım Tarihi 04-2022
Cilt / Sayı / Sayfa 5 / 1 / 3–6 DOI 10.5152/ejra.2022.21049
Makale Linki http://dx.doi.org/10.5152/ejra.2022.21049
UAK Araştırma Alanları
Kulak Burun Boğaz Hastalıkları
Özet
Background: Anatomical variations and pathologies in the sinonasal region are a known principal cause or trigger of headaches. The purpose of the present study was to determine the frequency of sinonasal pathologies in patients with tension-type headache and their association with the disease. Methods: Patients presenting to the Kastamonu Training and Research Hospital Neurology Clinic between 2019 and 2021 and diagnosed with a tension-type headache based on the International Headache Society 2018 classification were investigated retrospectively. Patients were examined in terms of cranial magnetic resonance imaging sinonasal anomalies, and the findings were recorded. Sinonasal lesions were classified as septal deviation, inferior turbinate hypertrophy, concha bullosa, and sinus retention cyst. Results: The incidence of septal deviation was significantly higher in the patient group than in the control group (P = .019). The incidence of tension-type headache was 2.2-fold higher among individuals with septal deviation compared to those with no such deviation (95% CI: 1.13-4.39). Comorbid septal deviation and inferior turbinate hyper-trophy were observed in 18.1% of the patients in the study, septal deviation and concha bullosa in 1.6%, and septal deviation and sinus retention cyst in 2.1%, but no significant difference was determined in distributions between the patient and control groups. Conclusion: It should be remembered that an accompanying pathology in patients with tension-type headache can further exacerbate existing symptoms or else can be the primary cause of headache. Patients must undergo a detailed ear, nose, and throat examination in terms of identifying mucosal contact points and sinonasal pathologies.
Anahtar Kelimeler
Concha bullosa | inferior turbinate hypertrophy | septal deviation | tension-type headache