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Leroux E et al. - This study underlines that SSFB present with headaches, often unilateral and in the fronto-orbital region. Proper imaging of the sphenoid sinus is useful in patients with unexplained headache. The neurologist has to be aware of radiological clues suggesting fungal sinus infection, since surgery is the main treatment, with good prognosis and frequent resolution of headaches.

Exclusive Author Commentary
Elizabeth Leroux, 06/03/09

Fungal sinusitis is rare but this serie underlines the necessity of a thorough investigation for any new, significant headache, especially in an elderly patient. Excluding temporal arteritis is not enough. Many of these patients were told they were depressed, even though they clearly identified their headache as new and debilitating and denied depressive symptoms. Check the sphenoid sinus!

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