ABSTRACT
Chronic rhinosinusitis (CRS) and primary headache syndromes are common disease entities and headache and facial pain are common reasons for referral to otolaryngology units. Because of an association of nasal symptoms with primary headache syndromes and considerable similarities in their clinical presentations, primary headache syndromes may be misdiagnosed as sinus disease and vice versa. In this review we examine the evidence on which otolaryngologists can base clinical diagnosis and management and offer an approach to distinguishing these common clinical entities.
Subject(s)
Headache Disorders, Primary/diagnosis , Rhinitis/diagnosis , Sinusitis/diagnosis , Chronic Disease , Diagnosis, Differential , Facial Pain/diagnosis , Facial Pain/etiology , Headache/diagnosis , Headache/etiology , Headache Disorders, Primary/complications , Headache Disorders, Primary/therapy , Humans , Sinusitis/complications , Sinusitis/therapyABSTRACT
The various medical histories of eminent members of state have been well documented and explored. Such accounts provide interesting insights into advances in treatment and management of disease. Moreover, historical cases serve as a timely reminder of how the central tenets of good medical practice do not change with time. Two American presidents, Ulysses S. Grant and Grover Cleveland, were afflicted with diseases of the head and neck, and one would subsequently die from his illness. Here we examine their diagnosis, treatment and their disease in the context of modern management.
