Description of the disease (onset time, main symptoms, hospital visited, etc.): Girl, 16 years old, 2011.10.6 cold without fever, 2 days of antibiotics, headache and dizziness, CT film for sinusitis, another 6 days of infusion did not improve, in Shandong Provincial Hospital EEG for moderate abnormalities, Qilu Hospital for minor abnormalities, MRI and lumbar puncture results are normal, hospitalized for more than 20 days, treated according to encephalitis and sinusitis The effect was average, and when he was discharged from the hospital, the headache and dizziness were still present.
During the hospitalization, I first played ganciclovir/lansoprazole/mannitol/olacitam, during 4 days, I was bloated and vomited, so I removed the mannitol/olacitam and added penicillin and gastrointestinal drugs, so I did not vomit and ate normally. A week after discharge, on the afternoon of November 12, another headache dizziness and eye rise can not open and want to sleep, most of the day is this situation.
Sinusitis or paranasal sinusitis usually has a variety of manifestations such as nasal congestion, runny nose and headache, of which headache is one of the most dominant manifestations, but first of all, it is important to understand that some headaches are caused by sinusitis, while others are not related to sinusitis.
Sinusitis headaches can be in the front part of the nose, around the eyes or deep in the eyes, or even in the neck, or radiating to the teeth, and the headache can vary in severity from a feeling of pressure in mild cases to extremely severe. Usually, sinusitis headaches are related to the inflamed sinuses. Head movements usually aggravate these headaches. However, sometimes the exact cause of the headache is really difficult to diagnose.
Non-sinusitis headaches are sometimes difficult to distinguish from sinusitis headaches, for example, they can also occur in the anterior part of the nose or around the eyes. Very few patients with sinusitis have only a headache and no other symptoms, such as a stuffy, runny nose, so if a headache is the only symptom, sinusitis is highly unlikely. Headaches due to other nasal pathologies are also more common, such as nasal septal distortion, which requires an ENT surgeon to perform an intranasal examination. Sometimes it is also accompanied by nasal polyps.
The main cause of headaches caused by nasal or sinus disease is related to the turbinates, a structure in the nasal cavity, divided into three turbinates, upper, middle and lower, which warm and humidify the air and can become engorged and edematous in case of inflammation. Cigarettes, perfumes and allergic substances can aggravate turbinate congestion and edema. When the turbinates are congested and edematous, the nasal passages will be blocked and the airflow will not be smooth, and the drainage of the sinuses will be obstructed.
Briefly, the headache caused by sinusitis is as follows: 1. Forehead pain, light in the morning and heavy in the afternoon. There may also be swelling and pain in the cheeks or pain in the upper molars, mostly due to maxillary sinusitis.
2.Sense of forehead pain in the morning, gradually Zhe aggravated, after the afternoon to reduce, to the evening all disappear, this may be frontal sinusitis.
3.The headache is mild, limited to the inner canthus or the root of the nose, and may also radiate to the top of the head, which is mostly caused by sieve sinusitis.
4. Pain deep in the eye, which may radiate to the top of the head, and also an occipital headache that is light in the morning and heavy in the afternoon, which may be due to pterygoid sinusitis.
But most people may have symptoms in many places, so sometimes it is impossible to determine exactly which sinus is inflamed based on the headache.
In addition to headache typical manifestations of acute sinusitis include: nasal congestion, runny nose, temporary smell disturbance, chills, fever, loss of appetite, constipation, and peripheral discomfort. In younger children, vomiting, diarrhea and coughing may occur. Pus nasal discharge can also irritate the throat and cause throat discomfort and laryngitis.