Uğur GÖNÜLLÜ, Füsun ÜLGER, Cenk AKBOSTANCI, Canan Işıkay TOGAY, Barış POYRAZ, Elif ŞEN

SUNCT-like syndrome in A patient with small cell lung cancer

Kısa süreli tek tarafl ı nöraljiform başağrısı atakları, konjonktival injeksiyon ve gözde sulanma(SUNCTShort- lasting unilateral Neuralgiform headache attacks with conjunctival injection and tearing) primer başağrılarının nadir bir formudur. SUNCT benzeri sendrom veya sekonder gelişimli SUNCT literatürde tanımlanmıştır. Biz SUNCT sendromlu küçük hücreli akciğer kanseri tanısı olan ilk olguyu sunuyoruz. Hastanın kraniyal manyetik görüntülemesinde sağ temporal kas içinde yerleşimli bir lezyon saptandı. Karbamazepin ile tedaviye orta derecede yanıt verdi. SUNCT benzeri sendrom tanısı, akciğer kanseri olan hastalarda dikkatli bir şekilde değerlendirilmelidir. Kraniyal metastazlar bu başağrısı sendromunu tetikleyebilir ve hastalarda sekonder SUNCT araştırılırken kraniyal MRG gereklidir.

Küçük hücreli akciğer kanserli hastada SUNCT benzeri sendrom

Short-lasting unilateral Neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare form of primary headache disorder. SUNCT-like syndrome or secondary SUNCT has been also described in the literature. We report the first case of SUNCT syndrome in a patient with a previous diagnosis of small cell lung cancer. Brain magnetic resonance imaging of this patient revealed a lesion located in the right temporal muscle. He had a moderate response to the treatment with carbamazepine. SUNCT-like syndrome diagnosis should be evaluated carefully in patients with previous history of lung cancer. Cranial metastases may be a trigger for this headache syndrome, and cranial MRI is needed in investigating secondary SUNCT in these patients.

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