‘Switching off’ SUNCT by sudden head movement: a new symptom
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Short-lasting unilateral neuralgiform headache with conjuctival injection and tearing (SUNCT) is a rare headache syndrome characterised by unilateral orbital or temporal pain that is stabbing or throbbing in quality and of moderate severity, lasting 5–240 s, associated with conjuctival injection and tearing. Less common autonomic symptoms include sweating of the forehead and rhinorrhoea. There should be at least 20 attacks per day to fulfil the International Headache Society criteria for the diagnosis of SUNCT . It is differentiated from paroxysmal hemicranias by its unresponsiveness to indomethacin. SUNCT is also refractory to most drugs used in the treatment of other short-lasting headaches. While most cases are primary (idiopathic), SUNCT can be symptomatic and due to cerebellopontine angle arteriovenous malformations , brainstem cavernous angioma , cerebellopontine angle astrocytoma or pituitary adenomas [4, 5]. We report a patient with symptomatic SUNCT due to...
KeywordsPituitary Adenoma Lamotrigine Topiramate Pregabalin Trigeminal Nerve
- 1.Headache Classification Committee of the International Headache Society (2004) The international classification of headache disorders: 2nd edition. Cephalalgia 24(Suppl. 1):1–160Google Scholar
- 9.Lenaerts M, Diederich N, Phuoe D (1997) A patient with SUNCT cured by the Jannetta procedure. Cephalagia 17:460Google Scholar