Headache and facial pain in scuba divers

William P. Cheshire

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Headache occasionally occurs during or after scuba diving. Although its significance often is benign, headache may signal a serious neurological disorder in some circumstances. In addition to the usual causes of headache, the diagnostic evaluation should consider otic and paranasal sinus barotrauma, arterial gas embolism, decompression sickness, carbon dioxide retention, carbon monoxide toxicity, hyperbaric-triggered migraine, cervical and temporomandibular joint strain, supraorbital neuralgia, carotid artery dissection, and exertional and cold stimulus headache syndromes. Focal neurologic symptoms, even in the migraineur, should not be ignored, but rather treated with 100% oxygen acutely and referred without delay to a facility with a hyperbaric chamber.

Original languageEnglish (US)
Pages (from-to)315-320
Number of pages6
JournalCurrent pain and headache reports
Issue number4
StatePublished - Aug 2004

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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