82% of cases diagnosed as sinus headahces will respond significantly to tryptans.; but take heart – I think it could be a double crunch
Treatment of Sinus Headache as Migraine: The Diagnostic Utility of Triptans
Elina Kari, MD; John M. DelGaudio, MD
Laryngoscope in press
not yet referenced
Criteria for sinusitis:
- sumatriptan or rizatriptan tried for resistant cases
- 82% had >50% response over 1-3 months
- I have seen cases of headaches with negative imaging [xray – regretably not CT] still respond to antibiotics making me think sinus issues lowers threshold to migraines
Comment – refractory sinus headaches should be given trial of tryptans; I use steroid to break a stataus migraine (often kenalog 60 mg IM) and that could help sinus issues as well… trial nasal steroids…
Their migraine criteria was separated into aura versus non-aura:
