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SUNCT and optic nerve hypoplasia.

Brett J Theeler¹, Kevin R Joseph

¹Department of Medicine/Neurology Service, Madigan Army Medical Center, Fort Lewis, WA, USA. btheeler@hotmail.com

The Journal of Headache and Pain

|June 23, 2009

Summary

This summary is machine-generated.

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome may be linked to congenital brain abnormalities. This case suggests early-onset SUNCT is associated with hypothalamic-pituitary axis dysfunction.

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Area of Science:

Neuroscience
Neurology
Ophthalmology

Background:

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare primary headache disorder.
Previous reports suggest an association between SUNCT and abnormalities in the brainstem and pituitary region.

Observation:

This report details a patient with a history of left optic nerve hypoplasia.
The patient also exhibited mild hypothalamic-pituitary dysfunction.
SUNCT symptoms began in adolescence for this individual.

Findings:

The case highlights a potential link between early-onset SUNCT and congenital abnormalities of the hypothalamic-pituitary axis.
Optic nerve hypoplasia and pituitary dysfunction were noted in conjunction with SUNCT.

Implications:

This case contributes to understanding the potential etiology of SUNCT, particularly in early-onset presentations.
Further research into hypothalamic-pituitary axis abnormalities may elucidate SUNCT pathogenesis.
Recognizing these associations can aid in the diagnosis and management of SUNCT patients with congenital anomalies.