SUNCT Syndrome: A Hungarian Case
Version of Record online: 18 MAY 2005
Headache: The Journal of Head and Face Pain
Volume 35, Issue 3, pages 158–160, March 1995
How to Cite
Becser, N. and Berky, M. (1995), SUNCT Syndrome: A Hungarian Case. Headache: The Journal of Head and Face Pain, 35: 158–160. doi: 10.1111/j.1526-4610.1995.hed3503158.x
- Issue online: 18 MAY 2005
- Version of Record online: 18 MAY 2005
- Accepted for publication August 8, 1994.
- SUNCT syndrome;
- trigeminal neuralgia;
- differential diagnostic features
A Hungarian patient with short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is presented in this paper. This male patient was first diagnosed as having first division trigeminal neuralgia. The location and duration of the attacks and the prominent accompanying autonomic feature on the symptomatic aide, such as conjunctival injection, lacrimation, nasal stuffiness, and the inefficacy of drugs, led to a reconsideration of the diagnosis. The pain paroxysms occurred frequently during a 3-to 4-month period, followed by a longer remission phase. Mechanical precipitating maneuvers were observed during bouts of pain. The clinical picture is reminiscent of the SUNCT syndrome, first described by Sjaastad et al in 1978.
SUNCT and trigeminal neuralgia are in many ways similar, although, some decisive differences have also been noted. Further observations are needed to distinguish the two disorders and to clarify this syndrome as a new headache type or as a trigeminal neuralgia variant.