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Journal of Neurology

, Volume 258, Issue 4, pp 694–695 | Cite as

‘Switching off’ SUNCT by sudden head movement: a new symptom

  • Elijah ChailaEmail author
  • E. Ali
  • D. Rawluk
  • M. Hutchinson
Letter to the Editors

Dear Sirs,

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 [1]. 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 [2], brainstem cavernous angioma [3], cerebellopontine angle astrocytoma or pituitary adenomas [4, 5]. We report a patient with symptomatic SUNCT due to...

Keywords

Pituitary Adenoma Lamotrigine Topiramate Pregabalin Trigeminal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Elijah Chaila
    • 1
    Email author
  • E. Ali
    • 1
  • D. Rawluk
    • 2
  • M. Hutchinson
    • 1
  1. 1.Department of NeurologySt Vincent’s University HospitalDublin 4Ireland
  2. 2.Department of NeurosurgeryBeaumont HospitalDublinIreland

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