A 46-year old man was admitted to neurology department because of severe headache associated only with airplane travel. When the plane started descending, a severe jabbing pain suddenly developed in the occipital area. The pain remained severe for 15 to 20 minutes until the plane landed. After the plane had landed, the pain alleviated spon- taneously and recovered completely after about 45 minutes. The brain computer tomography revealed chronic bilateral maxillary and right frontal sinusitis.