الفهرس 
A Reviiew off HeadacheOnly 14 pages are availabe for public view
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Abstract
The patient with facial pain presents a diagnostic challenge. Difficulties arise because of the frequency of the referred pain and the overlap in symptoms between different conditions. (32) Many patients with facial pain suggestive of sinus disease are ultimately proved through extensive investigations to have intranasal
anatomical variations without sinusitis. The contact of the inferior turbinate to deviated nasal septum or septal spur has been implicated as a possible cause of the contact point rhinogenic headache. Surgical removal appears to provide relief in appropriately selected patients.28 This work aimed to assess the role of various anatomical variations of the nose in the pathogenesis of contact point headache of non-infective or
organic cause. Also to put the criteria of diagnosing of such contact point rhinogenic headache, to search for its clinical presentation ,CT findings and the best methods of managing these patients
100 patients were the subject of this study; they had undergone ful history taking, thorough general examination (excluding other causes of headache) and clinical, endoscopic nasal examination and CT scan of the
paranasal sinuses. Positive nasal local anesthesia test is required to confirm
the pathology detected via these modalities of investigations is the tru
source of pain. The marked relief of pain after topical anesthetic application to mid nasal structures is a sound proof of the existence of sinonasal trigger areas. During this study 15 patients were excluded from this study. These patients refused surgery