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A SUNCT-like headache associated with lateral pontine infarction - case series and systematic review.
Eur J Pain
September 2024
Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group, Chulalongkorn University, Bangkok, Thailand.
Background And Aim: Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA-like headaches and lateral pontine infarctions.
Methods: Case series and systematic review.
SUNCT like syndrome preceding acute ophthalmic- distribution zoster: A case report and review of the literature.
Clin Neurol Neurosurg
March 2018
Johannes- Wesling- Klinikum Minden, Dept. of Neurology, Ruhr-University Bochum, Hans-Nolte Str. 1, 32429 Minden, DE, Germany.
Article Synopsis
- - SUNCT like syndrome has been previously linked to conditions arising after shingles (zoster), but this case presents it as the first symptom of an acute ophthalmic zoster.
- - A 73-year-old patient exhibited SUNCT like syndrome and, following treatment with antiviral acyclovir, experienced significant symptom relief without the need for additional medication.
- - The findings suggest that SUNCT like syndrome can serve as an early indicator of upcoming ophthalmic zoster, and it's important for healthcare professionals to consider this connection during diagnosis and treatment.
Post herpes zoster SUNCT like syndrome: Insights from two case reports.
Cephalalgia
February 2018
Department of Neurology, St. John's Medical College Hospital, Sarjapura Road, Bangalore 560034, Karnataka, India.
Background SUNCT like syndrome secondary to post herpes zoster infection has not been reported in literature. Case We are reporting two cases of SUNCT like syndrome secondary to post herpes zoster infection of the V1 distribution of the trigeminal nerve. Treatment with pregabalin and lamotrigine achieved complete symptomatic relief in both patients.
View Article and Find Full Text PDFShort-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing-like attacks in a pediatric patient found to have a pontine capillary telangiectasia and developmental venous anomaly: A case report exploring the root of the problem.
Cephalalgia
October 2017
1 Department of Pediatric Neurology, University of Alberta, Edmonton, AB, Canada.
Introduction Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)-like attacks are rarely reported in the pediatric population and may remain undiagnosed and under-investigated as a result. Case presentation We present a case of a 15-year-old male with intermittent, episodic, right-sided brief headaches most in keeping with SUNCT, initially diagnosed as paroxysmal hemicrania, but with no response to indomethacin. The pain was likewise not responsive to typical migraine treatments or steroids.
View Article and Find Full Text PDFMedullary infarction causing coexistent SUNCT and trigeminal neuralgia.
Cephalalgia
April 2017
1 The Headache Centre, The Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Background Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) or with autonomic symptoms (SUNA) are grouped together within the trigeminal autonomic cephalalgias (TACs). However, the SUNCT and SUNA phenotype and management overlap with those of trigeminal neuralgia (TN). Additionally, a broad variety of cerebral pathologies are reportedly able to trigger either TN- or SUNCT-like pain, and emerging structural neuroimaging findings suggest the possible role of neurovascular conflict with the trigeminal nerve in SUNCT, further supporting aetiological and pathophysiological overlaps among SUNCT, SUNA and TN.
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