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...


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.


  1. 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
  2. 2.
    Morales F, Mostacero E, Marta J (1994) Vascular malformation of the cerebellopontine angle associated with SUNCT syndrome. Cephalalgia 14:301–302PubMedCrossRefGoogle Scholar
  3. 3.
    De Benedittis G (1996) SUNCT syndrome associated with cavernous angioma of the brainstem. Cephalalgia 16:503–506PubMedCrossRefGoogle Scholar
  4. 4.
    Matharu MS, Levy MJ, Merry RT, Goadsby PJ (2003) SUNCT syndrome secondary to prolactinoma. J Neurol Neurosurg Psychiatry 74:1590–1592PubMedCrossRefGoogle Scholar
  5. 5.
    Massiou H, Launay JM, Levy C, El Amrani M, Emperauger B, Bousser MG (2002) SUNCT syndrome in two patients with prolactinomas and bromocriptine-induced attacks. Neurology 58:1698–1699PubMedGoogle Scholar
  6. 6.
    Guerreiro R, Casimiro M, Marques JP, Fontoura P (2009) Video neuroimage: symptomatic SUNCT syndrome cured after trigeminal neurovascular contact decompression. Neurology 72:e37PubMedCrossRefGoogle Scholar
  7. 7.
    Koseoglu E, Karaman Y, Kucuk S, Arman F (2005) SUNCT syndrome associated with compression of the trigeminal nerve. Cephalalgia 25:473–475PubMedCrossRefGoogle Scholar
  8. 8.
    Hannerz J, Linderoth B (2002) Neurosurgical treatment of short-lasting, unilateral, neuralgiform hemicranias with conjuctival injection and tearing. Br J Neurosurg 16:55–58PubMedCrossRefGoogle Scholar
  9. 9.
    Lenaerts M, Diederich N, Phuoe D (1997) A patient with SUNCT cured by the Jannetta procedure. Cephalagia 17:460Google Scholar
  10. 10.
    Williams M, Bazina R, Tan L, Rice H, Broadley SA (2010) Microvascular decompression of the trigeminal nerve in the treatment of SUNCT and SUNA. J Neurol Neurosurg Psychiatry 81:992–996PubMedCrossRefGoogle Scholar

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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