Abstract
A 2-year-old female came to the Neurological Emergency Room of "Giovanni XXIII" Hospital in Bari, 6 h after the onset of severe facial pain, which occurred soon after awakening. Stabbing pain affected the right frontal and periorbital area, with ipsilateral conjunctival injection, swelling of the eyelids and tearing. Except the duration, from 5 to 30 s., the attacks were stereotyped including the occurrence and features of autonomic signs. Based on the typical clinical findings and the normal magnetic resonance imaging (MRI), we diagnosed short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome (SUNCT). The spontaneous remission within a few hours made prophylactic therapy unnecessary. At the last follow-up, after 3 months, the patient was still symptom free. In our case, after an active period lasting 2 days the disease disappeared completely. However the typical features of the disease (unilateral pain, short duration and high frequency of the attacks, autonomic signs ipsilateral to pain, numbers of attacks) were all present. While the diagnostic criteria of the International Headache Society classification for SUNCT did not include the duration of disease, it is likely that the active period lasting 2 days could be an expression of the clinical variability of the disease.
| Original language | English |
|---|---|
| Pages (from-to) | 363-365 |
| Number of pages | 3 |
| Journal | Journal of Headache and Pain |
| Volume | 11 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2010 |
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ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
- Clinical Neurology
- Medicine(all)
Cite this
A case of early-onset and monophasic trigeminal autonomic cephalalgia : Could it be a SUNCT? / Sciruicchio, Vittorio; Sardaro, Michele; Gagliardi, Delio; Trabacca, Antonio; Galeone, Dante; De Tommaso, Marina.
In: Journal of Headache and Pain, Vol. 11, No. 4, 2010, p. 363-365.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of early-onset and monophasic trigeminal autonomic cephalalgia
T2 - Could it be a SUNCT?
AU - Sciruicchio, Vittorio
AU - Sardaro, Michele
AU - Gagliardi, Delio
AU - Trabacca, Antonio
AU - Galeone, Dante
AU - De Tommaso, Marina
PY - 2010
Y1 - 2010
N2 - A 2-year-old female came to the Neurological Emergency Room of "Giovanni XXIII" Hospital in Bari, 6 h after the onset of severe facial pain, which occurred soon after awakening. Stabbing pain affected the right frontal and periorbital area, with ipsilateral conjunctival injection, swelling of the eyelids and tearing. Except the duration, from 5 to 30 s., the attacks were stereotyped including the occurrence and features of autonomic signs. Based on the typical clinical findings and the normal magnetic resonance imaging (MRI), we diagnosed short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome (SUNCT). The spontaneous remission within a few hours made prophylactic therapy unnecessary. At the last follow-up, after 3 months, the patient was still symptom free. In our case, after an active period lasting 2 days the disease disappeared completely. However the typical features of the disease (unilateral pain, short duration and high frequency of the attacks, autonomic signs ipsilateral to pain, numbers of attacks) were all present. While the diagnostic criteria of the International Headache Society classification for SUNCT did not include the duration of disease, it is likely that the active period lasting 2 days could be an expression of the clinical variability of the disease.
AB - A 2-year-old female came to the Neurological Emergency Room of "Giovanni XXIII" Hospital in Bari, 6 h after the onset of severe facial pain, which occurred soon after awakening. Stabbing pain affected the right frontal and periorbital area, with ipsilateral conjunctival injection, swelling of the eyelids and tearing. Except the duration, from 5 to 30 s., the attacks were stereotyped including the occurrence and features of autonomic signs. Based on the typical clinical findings and the normal magnetic resonance imaging (MRI), we diagnosed short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome (SUNCT). The spontaneous remission within a few hours made prophylactic therapy unnecessary. At the last follow-up, after 3 months, the patient was still symptom free. In our case, after an active period lasting 2 days the disease disappeared completely. However the typical features of the disease (unilateral pain, short duration and high frequency of the attacks, autonomic signs ipsilateral to pain, numbers of attacks) were all present. While the diagnostic criteria of the International Headache Society classification for SUNCT did not include the duration of disease, it is likely that the active period lasting 2 days could be an expression of the clinical variability of the disease.
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UR - http://www.scopus.com/inward/citedby.url?scp=79953045424&partnerID=8YFLogxK
U2 - 10.1007/s10194-010-0219-y
DO - 10.1007/s10194-010-0219-y
M3 - Article
C2 - 20473543
AN - SCOPUS:79953045424
VL - 11
SP - 363
EP - 365
JO - Journal of Headache and Pain
JF - Journal of Headache and Pain
SN - 1129-2369
IS - 4
ER -