Seyfi ARSLAN, Yusuf TAMAM, İsmail APAK, Banu TAMAM

Sunct sendromu olan bir olguda spect bulguları

Konjunktival kızarıklık ve göz yaşarmasının eşlik ettiği unilateral kısa süreli nevraljifom ağrılar (Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing (SUNCT)) sendromu nadir görülen trigeminal kaynaklı baş ağrıları arasında sınıflandırılmaktadır. Genellikle tek taraflı oftalmik sinir alanında hafif-orta şiddetli paroksismal gruplar halinde gelen ağrı ve buna eşlik eden otonomik bulguların varlığı ile ayırt edilir. Etyolojisi kesin olarak belirlenebilmiş değildir, ancak buna yönelik çalışmalar sürdürülmektedir. Bu olgu sunumu ile oldukça nadir görülen SUNCT sendromu atağı sırasında saptadığımız SPECT bulgularını aktarmayı ve bulgularımızın hastalığın etyolojisine yönelik olası katkılarının tartışılması amaçlanmıştır.

Anahtar Kelimeler:

Baş ağrısı, Orta yaşlı, SUNCT Sendromu, Erkek, Tomografi, emisyon bilgisayarlı, tek foton

Spect findings in a case of sunct syndrome

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and Tearing (SUNCT) syndrome is classified in the rarely seen headaches of trigeminal origin. In its distinction paroxysmal groups of pain with low-moderate intensity which is generally unilateral and confined to the ophthalmic nerve region accompanied with autonomic symptoms is important. The etiology has not been exactly defined yet, but there are several studies going on over this subject. With this case report, we would like to present the cerebral Single Photon Emission Computed Tomography (SPECT) findings of a patient during an attack of SUNCT syndrome to contribute the discussion relevant to the etiology of the disorder.

Keywords:

Headache, Middle Aged, SUNCT Syndrome, Male, Tomography, Emission-Computed, Single-Photon,

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1. Cohen AS, Matharu MS, Goadsby PJ. Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) or cranial autonomic features (SUNA)—a prospective clinical study of SUNCT and SUNA. Brain. 2006;129: 2746– 2460.
2. D'Andrea G, Granella F. SUNCT syndrome: the first case in childhood. Cephalgia 2001; 21: 7001–7002.
3. Sesso RM, SUNCT syndrome or trigeminal neuralgia with lacrimation and conjunctival injection, Cephalgia 2001;21:151 -153
4. Di Monda V. Chronic paroxismal hemicrania and SUNCT syndrome. Ital J Neurol Sci, 1999; 20: 49–52.
5. Pareja JA, Cuadrado ML. SUNCT syndrome: an update. Expert Opin Pharmacother. 2005; 6: 591–599.
6. Graff-Radford SB. SUNCT syndrome responsive to gabapentin. Cephalalgia 2000; 20: 515–517.
7. Öztürk V. Nadir görülen baş ağrısı sendromları. Agri 2007; 19: 5-16.
8. Alore PL, Jay WM, Macken MP. SUNCT syndrome: Short-lasting Unilateral Neuralgiform headache with Conjunctival injection and Tearing. Semin Ophthalmol. 2006;21: 9–13.
9. El Amrani M, Massiou H, Bousger MG. Idiopathic SUNCT (short lasting unilateral neuralgiform headache attacks with conjunctival injection, tearing, sweating and rhinorrhea) syndrome: 2 new cases. Rev Neurol, 2001; 157: 1519–1524.
10. Poughias L, Aasly J. SUNCT syndrome: cerebral SPECT images during attacks. Headache. 1995; 35: 143–145
11. Cohen AS. Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing. Cephalalgia 2007; 27: 824–832.
12. Matharu MS, Cohen AS, Frackowiak RS, Goadsby PJ. Posterior hypothalamic activation in paroxysmal hemicrania. Ann Neurol 2006; 59: 535–545.
13. Matharu MS, Cohen AS, McGonigle DJ, et all. Posterior hypothalamic and brainstem activation in hemicrania continua. Headache 2004; 44: 747–761.
14. May A. Headache: lessons learned from functional imaging. Br Med Bull 2003; 65:223-234.