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Published on: January 17, 2018
Symptomatic SUNCT syndrome associated with ipsilateral paranasal sinusitis
Jeong-Yoon Choi1, Woo-Keun Seo, Ji Hyun Kim
1Department of Neurology, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea.
Headache
|December 17, 2008
Summary
Sinusitis can cause short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome. Surgical and antibiotic treatment resolved the patient's SUNCT symptoms, suggesting sinusitis as a potential cause.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare primary headache disorder.
- Sinusitis is an uncommon but potential trigger for secondary SUNCT syndrome.
Observation:
- A case study detailing a patient presenting with typical SUNCT syndrome features.
- The patient's symptoms were directly linked to ipsilateral paranasal sinusitis.
Findings:
- Endoscopic sinus surgery and antibiotic treatment led to complete resolution of SUNCT symptoms.
- Inflammation spreading through lamina papyracea dehiscence from sinusitis may cause SUNCT.
Implications:
- Highlights sinusitis as a treatable cause of SUNCT syndrome.
- Suggests a potential mechanism involving inflammatory spread in the development of SUNCT.
- Emphasizes the importance of considering paranasal sinusitis in SUNCT evaluations.
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