Allergy and migraine: is there a connection?
Human; Diagnosis; Differential; Migraine – Diagnosis; Migraine – Etiology; Hypersensitivity – Complications
PURPOSE OF REVIEW: In the last 10 years, otolaryngologists and allergists have become increasingly aware of migraine headaches in their practices. This is partially due to a better understanding of the high incidence of migraine and a realization that the majority of patients presenting as 'sinus headache' are actually suffering from migraine headaches. Considering that the incidence of migraine is approximately 20% in women and 6% in men and that 10-30% of people have allergies (US Department of Health and Human Services. Evidence Report/Technology Assessment No. 54; May 2002. AHRQ Publication No. 02-E024. pp. 1-198), there is obviously a large population of patients who suffer from both conditions. The question then arises that are migraine and allergy comorbid conditions, or is any association between the two a random occurrence? RECENT FINDINGS: The present study addresses this association, which has remained controversial for over 100 years. Newer studies focusing on familial trends, shared biochemical pathways and underlying mechanisms are presented. RELEVANCE: This study will provide a foundation to support future clinical studies.
Mehle ME
Current Opinion in Otolaryngology & Head & Neck Surgery
2008
2008-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/moo.0b013e3282f6a629" target="_blank" rel="noreferrer noopener">10.1097/moo.0b013e3282f6a629</a>
What do we know about rhinogenic headache? The otolaryngologist's challenge.
Contact point headache; Cooperative Behavior; Diagnosis; Diagnostic Imaging; Differential; Headache – Diagnosis; Headache – Etiology; Headache/diagnosis/*etiology; Humans; Interdisciplinary Communication; Interprofessional Relations; Medical History Taking; Migraine – Diagnosis; Migraine – Etiology; Migraine Disorders/diagnosis/*etiology; Migraine headache; Nasal pain; Neurologic Examination; Paranasal Sinuses – Pathology; Paranasal Sinuses/pathology; Patient History Taking; Primary Health Care; Referral and Consultation; Rhinitis – Complications; Rhinitis – Diagnosis; Rhinitis/*complications/*diagnosis; Rhinogenic headache; Sinus headache; Sinusitis – Complications; Sinusitis – Diagnosis; Sinusitis/*complications/*diagnosis
Sinus headache is a common presenting complaint in the otolaryngology office. Although most patients with this presentation are found to have migraine headache, many do not, and others fail therapy. This review focuses on the current understanding of nonneoplastic rhinogenic headache: headaches that are caused or exacerbated by nasal or paranasal sinus disease or anatomy. The literature regarding this topic is reviewed, along with a review of surgical series seeking to correct these abnormalities and the outcomes obtained with intervention. Suggestions are provided regarding patient diagnosis and management, and options for intervention are reviewed.
Mehle Mark E
Otolaryngologic clinics of North America
2014
2014-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.otc.2013.10.006" target="_blank" rel="noreferrer noopener">10.1016/j.otc.2013.10.006</a>