Clinical Spectrum of Rhinogenic Contact Point Headache (RCPH): A Case Series with Diagnostic Challenges and Surgical Outcomes
Avinash Kumar, Thajana Devi Khwairakpam, Garima Sinha, Nausheen Ansari, Nitya Raina
Author(s)
1Associate Professor, Department of Otorhinolaryngology – Head and Neck Surgery, Saraswathi Institute of Medical Sciences (SIMS), Anwarpur, Hapur, Uttar Pradesh, India. 2Postgraduate Student, Department of Otorhinolaryngology – Head and Neck Surgery, Saraswathi Institute of Medical Sciences (SIMS), Anwarpur, Hapur, Uttar Pradesh, India. 3Assistant Professor, Department of Anaesthesia and Critical Care, Government Institute of Medical Sciences (GIMS), Greater Noida, Uttar Pradesh, India. 4Postgraduate Student, Department of Otorhinolaryngology – Head and Neck Surgery, Saraswathi Institute of Medical Sciences (SIMS), Anwarpur, Hapur, Uttar Pradesh, India. 5Post Graduate Student, Department of otorhinolaryngology – Head and Neck Surgery, Saraswathi Institute of Medical Sciences (SIMS), Anwarpur, Hapur, Uttar Pradesh, India.
Abstract
Background: Rhinogenic contact point headache (RCPH) is a well-characterised yet frequently underdiagnosed entity arising from mucosal contact between opposing nasal structures. Its clinical manifestations often overlap with primary headache syndromes, rendering diagnosis challenging. This case series presents three anatomically and clinically distinct presentations of RCPH to highlight the spectrum of the condition and to reinforce the role of functional endoscopic sinus surgery (FESS) in its management.
Keywords: Rhinogenic contact point headache; Concha Bullosa; Sludger’s neuralgia; Migraine; Functional Endoscopic sinus surgery; Sphenopalatine ganglion; Sinonasal anatomy.