> Sinus headache requires differentiation of migraine and a sinus infection, called sinusitis

> Sinusitis, an acute infection of the sinuses, can produce headache and often is accompanied by fever and discolored nasal drainage. Sinusitis requires X-ray confirmation and appropriate treatment of the infection.

> Sinusitis is rarely the cause of recurrent of headache

> Most sinus headaches meet the criteria for migraine, and therefore, should be treated the same as migraine

> Patients report treatment with sinus medication gives relief within 72 hours, the same as the natural course of an untreated migraine. Treating the headache as a migraine can offer relief within 2 hours.

> Sinus headache is typically located in the sinus area of the face and forehead

> Common symptoms may include nasal stuffiness and drainage, often at the beginning of the attack

> As the headache develops, the symptoms begin to match those of migraine, such as moderate to severe pain with nausea and sensitivity to light and sound

> Many people with sinus headaches also have other forms of headache, such as migraine and tension-type