Senthil Kanitha, M (2010) A study of role of contact points in nose - as a causal factor in refractory headaches and the outcome of surgical treatment. Masters thesis, Stanley Medical College, Chennai.
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Abstract
Headache is a very frequent symptom, which is the complaint of half of the subjects that come to the physician. Chronic headache is distressing for both the patient and the physician ; to the former due to its nagging nature and to the latter for his inability to diagnose and for problems of self medication in many cases. The causes of headache are multi-factorial varying from simple tension headache, migraine, myo-facial spasm, tempero-mandibular joint arthralgia, vascular headache, refractory errors of vision , and brain tumors. It requires a multidisciplinary approach to diagnose the causative factors. Contact points may be a cause of secondary headache or an exacerbating factor for primary headaches. Mucosal contact headache is a newly added secondary headache disorder in the International Classification of Headache Disorders (ICHD-2) supported by limited evidence. According to the ICHD-2, these headaches are characterized by intermittent pain localized in the peri-orbital and medial canthal or temporo-zygomatic regions, associated with evidence of mucosal contact points by nasal endoscopy or computed tomography (CT) imaging. In our study, in a series of 50 patients , 86% had significant improvement after 2 month of surgery. Patients diagnosed to have chronic refractory headache / transformed migraine should be assessed for mucosal contact point headache and its appropriate surgical management for cure.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | contact points; nose; mucosal; refractory headache; surgical treatment |
| Subjects: | MEDICAL > Ent |
| Depositing User: | Devi S |
| Date Deposited: | 05 Jul 2017 06:38 |
| Last Modified: | 05 Jul 2017 06:38 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1002 |
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