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Sunct syndrome. Report of a case and treatment update

Short-lasting unilateral neuralgiform headache attacks with conjuntival injection and tearing (SUNCT) is considered a rare trigeminal autonomic cephalgias, a group of primary headache disorders characterized by brief episodes of severe unilateral headache in the distribution territory of the trigemi...

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Autores principales: Gay-Escoda, Cosme, Mayor-Subirana, Gemma, Camps-Font, Octavi, Berini-Aytés, Leonardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483350/
https://www.ncbi.nlm.nih.gov/pubmed/26155359
http://dx.doi.org/10.4317/jced.51854
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author Gay-Escoda, Cosme
Mayor-Subirana, Gemma
Camps-Font, Octavi
Berini-Aytés, Leonardo
author_facet Gay-Escoda, Cosme
Mayor-Subirana, Gemma
Camps-Font, Octavi
Berini-Aytés, Leonardo
author_sort Gay-Escoda, Cosme
collection PubMed
description Short-lasting unilateral neuralgiform headache attacks with conjuntival injection and tearing (SUNCT) is considered a rare trigeminal autonomic cephalgias, a group of primary headache disorders characterized by brief episodes of severe unilateral headache in the distribution territory of the trigeminal nerve, accompanied by prominent ipsilateral and cranial parasympathetic autonomic features. The present report describes a SUNCT syndrome in a 64-year-old male who had been diagnosed with trigeminal neuralgia several years ago. The patient reported stabbing pain in the orbital zone and in the left upper maxillary region, of great intensity, brief duration, and a frequency of 20-100 attacks a day. Pain episodes were accompanied by conjunctival injection and tearing. Based on the anamnesis, clinical examination and a magnetic resonance imaging scan, episodic SUNCT syndrome was diagnosed and pharmacological treatment with topiramate was started. This reduced the intensity and number of attacks to 3-6 a day. Key words:Trigeminal autonomic cephalgias, SUNCT, Cluster headache, topiramate.
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spelling pubmed-44833502015-07-07 Sunct syndrome. Report of a case and treatment update Gay-Escoda, Cosme Mayor-Subirana, Gemma Camps-Font, Octavi Berini-Aytés, Leonardo J Clin Exp Dent Case Report Short-lasting unilateral neuralgiform headache attacks with conjuntival injection and tearing (SUNCT) is considered a rare trigeminal autonomic cephalgias, a group of primary headache disorders characterized by brief episodes of severe unilateral headache in the distribution territory of the trigeminal nerve, accompanied by prominent ipsilateral and cranial parasympathetic autonomic features. The present report describes a SUNCT syndrome in a 64-year-old male who had been diagnosed with trigeminal neuralgia several years ago. The patient reported stabbing pain in the orbital zone and in the left upper maxillary region, of great intensity, brief duration, and a frequency of 20-100 attacks a day. Pain episodes were accompanied by conjunctival injection and tearing. Based on the anamnesis, clinical examination and a magnetic resonance imaging scan, episodic SUNCT syndrome was diagnosed and pharmacological treatment with topiramate was started. This reduced the intensity and number of attacks to 3-6 a day. Key words:Trigeminal autonomic cephalgias, SUNCT, Cluster headache, topiramate. Medicina Oral S.L. 2015-04-01 /pmc/articles/PMC4483350/ /pubmed/26155359 http://dx.doi.org/10.4317/jced.51854 Text en Copyright: © 2015 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gay-Escoda, Cosme
Mayor-Subirana, Gemma
Camps-Font, Octavi
Berini-Aytés, Leonardo
Sunct syndrome. Report of a case and treatment update
title Sunct syndrome. Report of a case and treatment update
title_full Sunct syndrome. Report of a case and treatment update
title_fullStr Sunct syndrome. Report of a case and treatment update
title_full_unstemmed Sunct syndrome. Report of a case and treatment update
title_short Sunct syndrome. Report of a case and treatment update
title_sort sunct syndrome. report of a case and treatment update
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483350/
https://www.ncbi.nlm.nih.gov/pubmed/26155359
http://dx.doi.org/10.4317/jced.51854
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