Case of SUNCT headache mimmicking trigeninal neuralgia
SUNCT (Short-lasting, Unilateral, Neuralgiform headache Atack with Conjunctival injection and Tearing) headache is a rare, primary headache disorder and a member of Trigeminal autonomic cephalgias (TACs) that is characterized by brief, intense episodes of pain in the head and face accompanied with paroxysmal facial autonomic symptoms . In some cases, the symptoms of SUNCT headache can resemble those of trigeminal neuralgia, a condition that is also characterized by intense facial pain. Both conditions can cause similar symptoms such as sudden, sharp, and severe pain in the face, but there are differences in their clinical presentation and medical treatment. Early and accurate diagnosis is essential because of possible complications and long-term negative impact on the patient's quality of life Trigeminal neuralgia is usually treated with anticonvulsant medications, while SUNCT headache is often resistant to treatment with anticonvulsant medication; and calcium channel blockers, anesthetics like lidocaine and/or nerve blocks being amoung the main treatment options.
Anahtar Kelimeler:
Trigeminal autonomic cephalgias, SUNCT, AICA, Vascular compression
___
- Goadsby PJ. Pathophysiology of cluster headache: a trigeminal autonomic cephalgia. Lancet Neurol. 2002 Aug;1(4):251-7. doi: 10.1016/s1474-4422(02)00104-7. PMID: 12849458.
- Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. PMID: 29368949.
- May A, Goadsby PJ. The trigeminovascular system in humans: pathophysiologic implications for primary headache syndromes of the neural influences on the cerebral circulation. J Cereb Blood Flow Metab. 1999 Feb;19(2):115-27. doi: 10.1097/00004647- 199902000-00001. PMID: 10027765.
- Baraldi C, Pellesi L, Guerzoni S, Cainazzo MM, Pini LA. Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal. J Headache Pain. 2017 Dec;18(1):71. doi: 10.1186/s10194-017-0777-3. Epub 2017 Jul 20. PMID: 28730562; PMCID: PMC5519518.
- Gardella L, Viruega A, Rojas H, Nagel J. A case of a patient with SUNCT syndrome treated with Jannetta procedure. Cephalalgia. 2001 Dec;21(10):996-9. doi: 10.1046/j.1468-2982.2001.00252.x. PMID: 11843874.
- 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 Oct;129(Pt 10):2746-60. doi: 10.1093/brain/awl202. Epub 2006 Aug 11. PMID: 16905753.
- Williams MH, Broadley SA. SUNCT and SUNA: clinical features and medical treatment. J Clin Neurosci. 2008 May;15(5):526-34. doi: 10.1016/j.jocn.2006.09.006. Epub 2008 Mar 5. PMID: 18325769.
- Sjaastad O, Pareja JA, Zukerman E, Jansen J, Kruszewski P. Trigeminal neuralgia. Clinical manifestations of first division involvement. Headache. 1997 Jun;37(6):346-57. doi: 10.1046/j.1526-4610.1997.3706346.x. PMID: 9237408.
- Weng HY, Cohen AS, Schankin C, Goadsby PJ. Phenotypic and treatment outcome data on SUNCT and SUNA, including a randomised placebo-controlled trial. Cephalalgia. 2018 Aug;38(9):1554-1563. doi: 10.1177/0333102417739304. Epub 2017 Nov 2. PMID: 29096522; PMCID: PMC6077870.
- 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 Oct;129(Pt 10):2746-60. doi: 10.1093/brain/awl202. Epub 2006 Aug 11. PMID: 16905753.
- Zhang S, Cao Y, Yan F, Chen S, Gui W, Hu D, Liu H, Li H, Yu R, Wei D, Wang X, Wang R, Chen X, Zhang M, Ran Y, Jia Z, Han X, He M, Liu J, Yu S, Dong Z. Similarities and differences between SUNCT and SUNA: a cross-sectional, multicentre study of 76 patients in China. J Headache Pain. 2022 Oct 26;23(1):137. doi: 10.1186/s10194-022- 01509-6. PMID: 36289482; PMCID: PMC9609258.
- Başlangıç: 2022
- Yayıncı: İstanbul Kent Üniversitesi