Anterior Ethmoidal Nerve Syndrome - An Under-diagnosed Cause of Headache

Main Article Content

Ramraj Yadav
Priyanko Chakraborty
Rajat Saini
Rajesh Kumar
Sanjay kumar Saroj
Shishupal Yadav

Abstract

Introduction


The anterior ethmoidal nerve syndrome is a group of symptoms resulting from irritation of the terminal branches of the anterior ethmoidal nerve.  Middle turbinate compression against the septum or the lateral nasal wall may cause a neuropathic facial pain syndrome which is often confused with sinogenic headache or other causes of headache. The diagnosis of anterior ethmoidal nerve syndrome is based on clinical and radiologic findings and needs a high index of suspicion. Our objective is to determine the nasal cause of headache and to create awareness among young ENT surgeons about various local causes of craniofacial pain.


Materials and Methods


A retrospective observational study carried out in a tertiary care hospital of North India. 30 patients who fulfilled the clinical diagnostic criteria were selected for the study.


Results


All the patients were analysed, managed accordingly by conservative and surgical management and outcome analysed. All patients were managed with medical and surgical management. Out of 30 patients, 28 (93.33%) patients improved in which 2 patients improve by medical management and 26 patients by surgical management.


Conclusion


The diagnosis requires a strong clinical suspicion and appropriate evaluation including nasal endoscopy, scan and anesthesia of the suspected point of contact.

Article Details

How to Cite
1.
Yadav R, Chakraborty P, Saini R, Kumar R, Saroj S kumar, Yadav S. Anterior Ethmoidal Nerve Syndrome - An Under-diagnosed Cause of Headache . BJOHNS [Internet]. 2022Dec.3 [cited 2024Nov.5];30(1):35-40. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/648
Section
Main article
Author Biographies

Ramraj Yadav, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, UP

Junior Resident,

Department of Ear, Nose & Throat

Priyanko Chakraborty, MGM Medical College and LSK Hospital, Kishanganj, Bihar

Assistant Professor,

Department of Ear, Nose & Throat

Rajat Saini, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

Junior Resident,

Department of Ear, Nose & Throat

Rajesh Kumar, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

Professor and Head,

Department of Ear, Nose & Throat

Sanjay kumar Saroj, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

Senior Resident,

Department of Ear, Nose & Throat

Shishupal Yadav, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

Junior Resident,

Department of Ear, Nose & Throat

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