Headache induced by isolated sphenoid fungal sinusitis: sinus headache?

Moon Oh Kwon, Kyung Soo Kim, Moon Oh Kwon, Kyung Soo Kim

Abstract

In this article, we report a case of isolated sphenoid fungal sinusitis which only presented as headache. We review the literature of this rare but interesting lesion according to the revised 2004 IHS diagnostic criteria for "Headache attributed to Rhinosinusitis".

Figures

Fig. 1
Fig. 1
Computed tomographic scans of the paranasal sinuses (a axial, b coronal) show a heterogeneous opacity with microcalcification involving the right sphenoid sinus
Fig. 2
Fig. 2
The magnetic resonance imaging shows low signal intensity on T1 and a signal void on T2-weighted images in the right sphenoid sinus (a axial T1-weighted image, b axial gadolinium enhanced T1-weighted image, c axial T2-weighted image, d coronal T2-weighted image)

References

    1. Allphin AL, Strauss M, Abdul-Karim FW. Allergic fungal sinusitis: problems in diagnosis and treatment. Laryngoscope. 1991;101:815–820. doi: 10.1288/00005537-199108000-00003.
    1. Klossek JM, Serrano E, Péloquin L, Percodani J, Fontanel JP, Pessey JJ. Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses. Laryngoscope. 1997;107:112–117. doi: 10.1097/00005537-199701000-00021.
    1. Yiotakis I, Psarommatis I, Seggas I, Manolopoulos L, Ferekidis E, Adamopoulos G. Isolated sphenoid sinus aspergillomas. Rhinology. 1997;35:136–139.
    1. Lee K, Yanagisawa K. An obscure etiology for headache: sphenoid sinus disease. Yonsei Med J. 1998;29:209–218.
    1. Wyllie JW, 3rd, Kern EB, Djalilian M. Isolated sphenoid sinus lesions. Laryngoscope. 1973;83:1252–1265. doi: 10.1288/00005537-197308000-00010.
    1. Latif S, Aslam N, Ahmed R, Sarfraz S. Isolated sphenoidal fungal sinusitis, presentation but potentially life threatening outcome. Annals. 2008;14:72–74.
    1. Lin SH, Ho CY. Paranasal sinus pathologies in patients presenting with headache as the primary symptom. Cephalalgia. 2006;26(4):423–427. doi: 10.1111/j.1468-2982.2005.01058.x.
    1. Bluementhal HJ. Headaches and sinus disease. Headache. 2001;41:883–888.
    1. Headache Classification Subcommittee of the International Headache Society The international classification of Headache disorders: 2nd edn. Cephalalgia. 2004;24:9–160. doi: 10.1111/j.1468-2982.2003.00824.x.
    1. Sellars SL, Devilliers JC. The sphenoid sinus mucocele. J Laryngol Otol. 1981;95:493–502.

Source: PubMed

Patrocinadores e Colaboradores

Condições médicas

Intervenções de drogas

3
Se inscrever