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Patients With Headache and Visual Disturbance
A Differentiation Between Migraine and Sinonasal Headache
Arch Otolaryngol Head Neck Surg. 2000;126:234-235.
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John Fornadley, MD, states that anterior facial discomfort is usually a manifestation of a headache disorder or underlying sinusitis. His hypothesis states that visual disturbances are helpful in differentiating migraine from sinonasal headache. This is only true for 1 type of migraine: migraine with aura. In his bottom line, Fornadley states that the differentiation of migraine from sinonasal headache must be made in light of the entire symptom complex. I agree with these views.
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It has been my experience that many types of visual disturbances that are the prodromal symptoms of migraine with aura (in order of frequency: scotoma [blind spots], teichopsia [fortification spectrum], photopsia [flashing lights], and visual and auditory hallucinations) are associated with some types of migraine headache. However, if there are no visual symptoms, the headache does not have to be sinonasal in origin; there are many other types of headache that can . . . [Full Text of this Article]
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