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'Sinus' headache may really be a migraine. (Sumatriptan Effective TX).
HONOLULU -- The overwhelming majority of "sinus" headaches are actually migraine headaches, according to a large clinical trial reported by Dr. Curtis P. Schreiber at the annual meeting of the American Academy of Neurology.
The 3,038 patients in the study, who had six or more self-described or physician-diagnosed "sinus" headaches during the prior 6 months, were seen at 453 mostly primary care sites in the United States. The study excluded patients with a prior diagnosis of migraine, prior use of triptans, sinus headache with fever or purulent discharge, or radiographic evidence of sinus infection within the past 6 months, said Dr. Schreiber of the Headache Care Center, Springfield, Mo.
Use of International Headache Society criteria showed that 80% of the 3,038 patients had migraine with or without aura, 8% had migrainous headaches, 8% had tension-type headache, and 4% had other headache types.
Along with standard migraine symptoms, the 2,424 patients diagnosed with migraine often reported "sinus" headache symptoms: 84% reported sinus pressure, 82% reported sinus pain, 63% reported nasal congestion, 40% reported rhinorrhea, 38% reported watery eyes, and 27% reported itchy nose.
Sumatriptan seems to be an effective treatment for such "sinus" headaches, based on findings from the ...
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