Current Situation of Rhinogenic Headache in-between Sohag University Students

Abstract

Background: Headache is a symptom of pain anywhere in the region of the head or neck, and it can occur as a result of many conditions whether serious or not. Objective: To detect the rhinogenic headache cases among Sohag University students and to determine their characteristics. Patients and methods: Over a period from Oct 2017 to May 2019, 104 patients were complaining of rhinogenic headache and diagnosed by CT scanning. Data obtained using a structured questionnaire. Results: Most of the population enrolled in the study (59.6 %) were females, mostly in the first grade (46.2 %), inhabiting rural and/or slum areas of Sohag (69.2 %). Smoking habit associated with all pneumatization cases and 16.7 % of DNS were male cases. Frontal site of headache predominated, then the nasalglabellar site. These followed by periorbital, tempro-parietal, temporal and scalp regions respectively in 32.7, 25, 17.3, 11.5, 7.7 and 5.8 % of the rhinogenic cases. Compressing and dullness types are predominated in cases of rhinogenic headache without abnormalities in about 55 %. The associated symptoms with rhinogenic headache cases included malaise, allergic nasal symptoms like running nose and red eyes, sneezing, nasal itching and bleeding. Congestion and occlusion affected larger percent (55.8 %), followed by running nose (40.4 %) and postnasal discharge (46.2 %). Diminished sense of smell to a lesser extent of rhinogenic headache cases. In addition, sore throat, bad mouth odor and chronic cough had been reported in some cases. Conclusion: Understanding the preoperative CT scan is substantially important because it is the road map for the sinus surgeon.