Which CT findings are characteristic of pediatric sinus headache?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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Answer

In children with sinus headache, CT scanning of the sinuses is sensitive but expensive. Note that there is often mucoperiosteal thickening in the paranasal sinuses of children, so that it is difficult to determine whether the soft tissue changes of the sinuses are due to either bacterial infection or inflammation from other causes, such as viral infection, allergy, or chemical irritation. Thus, CT scanning should not be used to make the diagnosis of sinusitis but, rather, should be obtained only in children in whom antibiotic therapy has not ameliorated symptoms or in whom sinus surgery is being considered after appropriate antibiotic therapy has failed.


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