Presented in part at the XXXV Congreso Argentina de Neurologia, San Martin delos Andes, September, 1996.
SUNCT Syndrome. Two Cases in Argentina
Article first published online: 6 JUN 2003
Headache: The Journal of Head and Face Pain
Volume 38, Issue 5, pages 369–371, May 1998
How to Cite
Raimondi, E. and Gardella, L. (1998), SUNCT Syndrome. Two Cases in Argentina. Headache: The Journal of Head and Face Pain, 38: 369–371. doi: 10.1046/j.1526-4610.1998.3805369.x
- Issue published online: 6 JUN 2003
- Article first published online: 6 JUN 2003
- Accepted for publication October 23, 1997.
- trigeminal neuralgia;
- cluster headache;
- drugs treatment;
Two patients suffering from SUNCT syndrome are presented. Some features are remarkable. The first patient was a 69-year-old man whose first crisis was located in the right supraorbital region. After a 4-month spontaneous remission, the pain returned to the upper part of the cheek, radiating to the supraciliary region on the same side, with lacrimation and conjunctival injection. Rhinorrhea was absent The painful attacks were triggered by head movements. Clinical improvement occurred with carbamazepine treatment
The second patient was a 48-year-old woman whose painful attacks lasted from 30 to 45 seconds followed by a burning sensation lasting 2 hours. Autonomic signs such as conjunctival injection, lacrimation, and edema and ipsilateral ptosis of the upper lid were rather marked. There was never any rhinorrhea. Her attacks were triggered by head and eye movements. She responded to the administration of corticosteroids and carbamazepine.
According to these features, the two patients had SUNCT syndrome, and the positive carbamazepine response suggests a relationship with trigeminal neuralgia.