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Published on: September 20, 2018
SUNCT syndrome: case report and literature review
1Hebrew University, Jerusalem, Israel.
Summary
This case study describes a patient with short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT). Standard treatments were ineffective, but the patient eventually entered remission.
Area of Science:
- Neurology
- Ophthalmology
- Dentistry
Background:
- Short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare primary headache disorder.
- Diagnosis can be challenging due to overlapping symptoms with other headache types.
Observation:
- A case of a woman experiencing 2-year duration of neuralgiform pain attacks is presented.
- Attacks were consistently associated with ipsilateral lacrimation and conjunctival injection.
- Conventional treatments including amitriptyline and indomethacin provided no relief.
Findings:
- The patient's condition, characterized by severe unilateral headache with autonomic symptoms, aligns with SUNCT criteria.
- The patient experienced a natural remission after a 30-month active period.
- This represents the first reported case in dental literature and the 24th overall.
Implications:
- Highlights the importance of considering SUNCT in patients with refractory unilateral headaches and autonomic features.
- Suggests potential for spontaneous remission in some SUNCT cases.
- Underscores the need for broader awareness of SUNCT across medical and dental specialties.
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