Korean J Otorhinolaryngol-Head Neck Surg.  2015 Mar;58(3):205-208. 10.3342/kjorl-hns.2015.58.3.205.

Radiofrequency Diathermy for Rhinogenic Headache

• Choi CH
• Jin KH
• Park MW
• Yu MS

• KMID: 2277839
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.3.205

Abstract

Rhinogenic headache is a headache or facial pain syndrome secondary to mucosal contact points or rhinogenic causes in the absence of rhinitis/sinusitis. The authors report a case of atypical rhinogenic headache in a 72-year-old woman who presented with recurrent right side headache, which was aggravated by nasal breathing. A computed tomographic scan showed no evidence of rhinosinusitis and mucosal contact points. However, during nasal endoscopy, she had multiple pain-trigger points on the septum and lateral nasal wall. Treatment involved endoscopic reduction and radiofrequency diathermy of the pain-trigger point. Postoperatively, the headache was successfully relieved, and there was no evidence of recurrence. In this article, the authors present surgical option for the treatment of atypical rhinogenic headache.

Keyword

Radiofrequency diathermy; Rhinogenic headache

MeSH Terms

Aged
Diathermy*
Endoscopy
Facial Neuralgia
Female
Headache*
Humans
Recurrence
Respiration