Attack-Related Brainstem Activation in a Patient With SUNCT Syndrome: An Ictal fMRI Study

Authors

  • Tibor Auer MD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • József Janszky MD, PhD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Attila Schwarcz MD, PhD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Tamás Dóczi MD, PhD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Anita Trauninger MD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Bálint Alkonyi MD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Sámuel Komoly MD, PhD,

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Zoltán Pfund MD, PhD

    1. From the Department of Neurosurgery, University of Pécs, Pécs, Hungary (T. Auer, A. Schwarcz, T. Dóczi); Department of Neurology, University of Pécs, Pécs, Hungary (J. Janszky, A. Trauninger, B. Alkonyi, S. Komoly, and Z. Pfund).
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  • Financial support: This work was supported by the Bolyai Fellowship (J.J.), Neuroimaging Foundation (Z.P., J.J.), and grants from the Hungarian Research Council (ETT 219/2006 and ETT 176/2006).

  • Conflict of Interest: None

Z. Pfund, Department of Neurology, University of Pécs, 7623 Pécs, Rét u. 2., Hungary.

Abstract

The authors report functional magnetic resonance imaging (fMRI) study data of a 60-year-old patient having short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome. Three consecutive pain attacks were detected during the imaging session and strong brainstem activation was found. It was concluded that the brainstem can be involved in the pain signal transmission in SUNCT syndrome.

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