Case Report: Coexistence of SUNCT and Hypnic Headache in the Same Patient

Jacopo Fantini, Antonio Granato, Marino Zorzon, Paolo Manganotti

Research output: Contribution to journalArticle

Abstract

Background: Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and hypnic headache (HH) are two exceedingly rare and distinctly classified primary headaches. The hypothalamus seems to be a crucial region involved in the pathophysiology of both conditions, but no cases of SUNCT and HH co-occurrence have been described so far. Case results: A 49-year-old woman who has been suffering from SUNCT for years, with alternation of symptomatic periods and remissions, developed a new headache with different clinical features, presenting exclusively during sleep and with a dramatic responsiveness to caffeine, that met the diagnostic criteria for HH. Conclusions: The available literature suggests that SUNCT and HH are different conditions but the association in the same patient that we describe supports the concept that they are not mutually exclusive. Further studies are needed to establish if they share a common pathophysiological mechanism.

Original languageEnglish
Pages (from-to)1503-1506
Number of pages4
JournalHeadache
Volume56
Issue number9
DOIs
Publication statusPublished - Oct 1 2016

Keywords

  • caffeine
  • hypnic headache
  • short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing
  • tautonomic
  • trigeminal

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Fantini, J., Granato, A., Zorzon, M., & Manganotti, P. (2016). Case Report: Coexistence of SUNCT and Hypnic Headache in the Same Patient. Headache, 56(9), 1503-1506. https://doi.org/10.1111/head.12844