Abstract
Background: Headache is the most common human condition and affects a wide range of populations with a number of etiologies. The majority of headaches are accounted for by main headache disorders that involve migraine, cluster and tension-type headaches, whereas secondary headaches are much less common than those with underlying disease (e.g. tumour).
 Aims & objectives: To assess the Utility of computed tomography of brain and limited para-nasal sinuses scanning in patients with headache.
 Methodology: This prospective research included 400 cases of primary headache symptoms undergoing computed brain tomography and minimal para-nasal sinus CT scans. For the diagnostic yield from imaging, findings were tabulated and analysed.
 Results: Isolated headache, accompanied by headache with vomiting, was the most common symptom of referral to CT brain. In 44 subjects, 26 due to intracranial pathology and 18 due to para-nasal sinus disease, a severe abnormality was found. Of the 44 positive cases, 12 were lesions occupying room, 4 vaccine infarctions, 2 subarachnoid haemorrhages, 8 cortical vein thrombosis, and 18 had sinusitis.
 Conclusion: Computed tomography is a useful screening tool in the assessment of headache patients.
 Keywords: Headache, Computed Tomography, Migraine, Para Nasal Sinus.
Highlights
Headache is the condition endured most commonly by human beings
Aims & objectives: To assess the Utility of computed tomography of brain and limited para-nasal sinuses scanning in patients with headache
Many headaches are accounted for by main headache conditions that involve migraine; cluster and anxiety type headaches, whereas secondary headaches that are those with underlying pathology are far less common[3]
Summary
Headache is the condition endured most commonly by human beings. Every year, as many as 90 % of people have at least one episode of headache and in 40 percent of the population, serious headache is recorded to occur at least annually. Many headaches are accounted for by main headache conditions that involve migraine; cluster and anxiety type headaches, whereas secondary headaches that are those with underlying pathology (e.g. tumour or aneurysm) are far less common[3]. Compared with the vast number of primary headache patients, the relative rarity of secondary headaches poses questions about the wisdom of regular neuro-imaging tests such as computed tomography (CT) to eliminate underlying causes of headache. Intracranial pathology is the main medical problem when a patient has a headache Headache aetiology in these patients can be related to intracranial causes such as meningitis, lesions occupying space, etc., or may be due to para-nasal sinus anomalies such as sinusitis, mucocoele and nasal spur deviated nasal septum. Methodology: This prospective research included 400 cases of primary headache symptoms undergoing computed brain tomography and minimal para-nasal sinus CT scans.
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