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The Journal of Headache and Pain Dec 2009Short-lasting unilateral neuralgiform headache (SUNCT) and first division trigeminal neuralgia (TN) are rare and very similar periorbital unilateral pain syndromes. Few...
Short-lasting unilateral neuralgiform headache (SUNCT) and first division trigeminal neuralgia (TN) are rare and very similar periorbital unilateral pain syndromes. Few cases of SUNCT are associated with posterior skull lesions. We describe a 54-year-old man with symptoms compatible with both the previous painful syndromes, associated with a small posterior skull and a cerebellar hypoplasia. The short height and the reported bone fractures could be compatible with a mild form of osteogenesis imperfecta, previously described in one case associated with SUNCT. However, a hypoplastic posterior cranial fossa characterizes also Chiari I malformation. The difficult differential diagnosis between SUNCT and TN and their relation with posterior skull malformations is debated.
Topics: Amines; Arnold-Chiari Malformation; Carbamazepine; Cerebellum; Cranial Fossa, Posterior; Cyclohexanecarboxylic Acids; Drug Therapy, Combination; Fractures, Bone; Gabapentin; Growth Disorders; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Nervous System Malformations; Ophthalmic Nerve; Osteogenesis Imperfecta; SUNCT Syndrome; Treatment Outcome; Trigeminal Neuralgia; gamma-Aminobutyric Acid
PubMed: 19760043
DOI: 10.1007/s10194-009-0152-0 -
The Journal of Headache and Pain Feb 2008We describe a 46-year-old female with viral meningoencephalitis (likely varicella-zoster virus) who developed a SUNCT syndrome followed a few days later by trigeminal...
We describe a 46-year-old female with viral meningoencephalitis (likely varicella-zoster virus) who developed a SUNCT syndrome followed a few days later by trigeminal neuralgia. Both disorders resolved in parallel with the resolution of encephalitis, which suggests a causal link. In conclusion, headache attributed to intracranial infection may have the clinical features of SUNCT or TN.
Topics: Anticonvulsants; Brain; Encephalitis, Varicella Zoster; Epilepsy; Female; Humans; Magnetic Resonance Imaging; Middle Aged; Nerve Fibers, Myelinated; Recurrence; SUNCT Syndrome; Treatment Outcome; Trigeminal Ganglion; Trigeminal Nerve; Trigeminal Neuralgia
PubMed: 18217200
DOI: 10.1007/s10194-008-0008-z -
The Journal of Headache and Pain Aug 2012
Topics: Humans; Refractory Period, Electrophysiological; SUNCT Syndrome
PubMed: 22684527
DOI: 10.1007/s10194-012-0464-3 -
Ideggyogyaszati Szemle Sep 2020Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing/short-lasting unilateral neuralgiform headache with cranial autonomic features...
Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing/short-lasting unilateral neuralgiform headache with cranial autonomic features (SUNCT/SUNA) is a rare severe headache. At the time of an attack, it can hinder a patient from eating and requires acute intervention. The sphenopalatine ganglion is an extracranial parasympathetic ganglion with both sensory and autonomic fibers. Sphenopalatine ganglion block has long been used in the treatment of headache, particularly when conventional methods have failed. Here, we present a patient who was resistant to intravenous lidocaine, but responded rapidly to sphenopalatine ganglion block during an acute episode of SUNCT/SUNA.
Topics: Headache; Humans; Lidocaine; Neuralgia; SUNCT Syndrome; Sphenopalatine Ganglion Block; Treatment Outcome
PubMed: 33035414
DOI: 10.18071/isz.73.0345 -
Arquivos de Neuro-psiquiatria Sep 2007SUNCT is one of the rarest and least known primary headache disorders. Although its pathogenesis has been partially understood by functional neuroimaging and reports of...
SUNCT is one of the rarest and least known primary headache disorders. Although its pathogenesis has been partially understood by functional neuroimaging and reports of secondary cases, there is limited understanding of its cause. We report a case of SUNCT in a 54-years-old man, that could not be strictly classified as secondary SUNCT; however, the time lag of pain onset suggests a new theory in which neuroplasticity could be involved in the origin and duration of the pain in SUNCT syndrome.
Topics: Humans; Magnetic Resonance Imaging; Male; Middle Aged; Neuronal Plasticity; SUNCT Syndrome
PubMed: 17952296
DOI: 10.1590/s0004-282x2007000500025 -
Emergencias : Revista de La Sociedad... Jun 2018
Clinical spectrum of associated SUNCT (shortlasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) and trigeminal neuralgia: a multidisciplinary approach in the emergency department.
Topics: Diagnosis, Differential; Emergency Service, Hospital; Female; Humans; Middle Aged; Patient Care Team; SUNCT Syndrome; Trigeminal Neuralgia
PubMed: 29687680
DOI: No ID Found -
Archivos Argentinos de Pediatria Feb 2008SUNCT Syndrome (short-lasting unilateral neuralgiform headache with conjuntival injection and tearing) combines neuralgic, migraineus and autonomic headaches, three of...
[SUNCT syndrome (short-lasting unilateral neuralgiform headache with conjuntival injection and tearing): a rare case in a paediatric patient with favourable response to topiramate].
SUNCT Syndrome (short-lasting unilateral neuralgiform headache with conjuntival injection and tearing) combines neuralgic, migraineus and autonomic headaches, three of four primary ones described in the International Classification of the IHS (International Headache Society). This work describes a paediatric case evaluated under MIDAS score in which a new therapeutic approach with topiramate (TPM) was used.
Topics: Adolescent; Conjunctiva; Fructose; Humans; Male; Migraine Disorders; Neuralgia; Syndrome; Tears; Topiramate
PubMed: 18636133
DOI: No ID Found -
The Journal of Headache and Pain Oct 2009SUNCT has been reported in association with abnormalities of the brainstem and pituitary region. We present a patient with a history of left optic nerve hypoplasia, mild...
SUNCT has been reported in association with abnormalities of the brainstem and pituitary region. We present a patient with a history of left optic nerve hypoplasia, mild hypothalamic-pituitary dysfunction, and SUNCT starting in adolescence. SUNCT with an early age of onset may be associated with congenital abnormality of the hypothalamic-pituitary axis.
Topics: Adolescent; Adult; Age of Onset; Cysts; Female; Galactorrhea; Humans; Hyperprolactinemia; Magnetic Resonance Imaging; Menstruation Disturbances; Optic Nerve; Optic Nerve Diseases; Pituitary Diseases; SUNCT Syndrome
PubMed: 19543690
DOI: 10.1007/s10194-009-0135-1 -
The Journal of Headache and Pain Mar 2024There is lack of population-based studies evaluating the prevalence of paroxysmal hemicrania, hemicrania continua and short-lasting unilateral neuralgiform headache...
BACKGROUND
There is lack of population-based studies evaluating the prevalence of paroxysmal hemicrania, hemicrania continua and short-lasting unilateral neuralgiform headache attacks.
OBJECTIVES
The aim of this study was to investigate the gender-specific 1-year prevalence of cluster headache, paroxysmal hemicrania, hemicrania continua, and short-lasting unilateral neuralgiform headache attacks.
METHODS
A nationwide study was conducted from January 1 2022 and December 31 2022 by linking diagnostic codes from Norwegian Patient Registry and prescription of relevant drugs from Norwegian Prescription Database on an individual basis. The 1-year prevalence with 95% confidence intervals (CI) of cluster headache, paroxysmal hemicrania, hemicrania continua and short-lasting unilateral neuralgiform headache attacks are estimated based on the combination of diagnostic codes, prescription of drugs and corresponding reimbursement codes.
RESULTS
Among 4,316,747 individuals aged ≥ 18 years, the 1-year prevalence per 100,000 was 14.6 (95% CI 13.5-15.8) for cluster headache, 2.2 (95% CI 1.8-2.7) for hemicrania continua, 1.4 (95% CI 1.0-1.8) for paroxysmal hemicrania, and 1.2 (95% CI 0.8-1.4) for short-lasting unilateral neuralgiform headache attacks. For all the trigeminal autonomic cephalalgies, cluster headache included, the prevalence was higher for women than men.
CONCLUSIONS
In this nationwide register-based study, we found a 1-year prevalence per 100,100 of 14.6 for cluster headache, 2.2 for hemicranias continua, 1.4 for paroxysmal hemicranias, and 1.2 for short-lasting unilateral neuralgiform headache attacks. This is the first study reporting higher prevalence of cluster headache for women than men.
Topics: Male; Female; Humans; Paroxysmal Hemicrania; Cluster Headache; Prevalence; Headache; SUNCT Syndrome; Neuralgia; Norway; Registries
PubMed: 38443787
DOI: 10.1186/s10194-024-01738-x -
The Journal of Headache and Pain Feb 2007In the Vågå study of headache epidemiology, 1838 parishioners in the age group 18-65 years were included (88.6% of the relevant population). Each individual was...
In the Vågå study of headache epidemiology, 1838 parishioners in the age group 18-65 years were included (88.6% of the relevant population). Each individual was questioned in a face-to-face situation. In this population, a search of rare unilateral headaches was also made, in spite of their presumed rarity. Trigeminal neuralgia was present in two cases. Two individuals with SUNCT traits were observed. Hemicrania continua may have been present in one individual. Also observed were: optic neuritis (n=1), herpes zoster (n=4); a case of unilateral headache upon neck rotation (chronic paroxysmal hemicrania variant? or "forme fruste" of the neck-tongue syndrome?); masseter muscle spasm (n=1); temporo-mandibular joint dislocation (n=1); and possible carotidynia (n=3). A particularly intriguing form of headache was a unilateral, neuralgiform (?) pain, associated with ipsilateral, regular jabs and allodynia, a combination observed in eight females. A couple of conditions that entirely defy rubrication are also reported.
Topics: Adolescent; Adult; Aged; Epidemiologic Studies; Female; Headache; Humans; Male; Middle Aged; Norway
PubMed: 17221345
DOI: 10.1007/s10194-006-0292-4