Rhinogenic Contact Point Headache - Frequently Missed Clinical Entity

Abstract

Abstract Background There are different anatomical situations inside the nasal cavity leading to rhinogenic contact point headache (RCPH), where each contact point has its own characteristics. The precise excision of contact points by endoscopic approach in patients with RCPH is very effective and could be done carefully in selected patients. This review presents an overview of the current aspects in pathophysiology, clinical profile, and management of RCPH. Method Relevant literature was searched from PubMed, Science direct, and Scopus databases. Results Headache is a common clinical entity and is nearly universal in the course of everyone's life. Pressure of two opposing mucosa in the nasal cavity without evidence of inflammation can be a cause of headache or facial pain. Minor intranasal anatomical variation leading to mucosal contact point may be an etiological factor for causing headache and often misdiagnosed and forgotten by clinician during evaluation of headache patients and sometimes considered as headache of unknown etiology.