He presented a stabbing and intense daily pain located in the left pre-auricular and temporal regions. Each of these intense pain attacks lasted around one minute and presented a frequency of two to eight times per day. [ncbi.nlm.nih.gov]

• Hunting

  The phlebography findings were similar to those observed in the Tolosa-Hunt syndrome and in cluster headache. [ncbi.nlm.nih.gov]

  Hunt, CH, Dodick, DW, Bosch, EP. SUNCT responsive to gabapentin. Headache 2002 ; 42: 525 – 6. DOI 10.1046/j.1526-46102002.02129.x Google Scholar | Crossref | Medline | ISI 11. Porta-Etessam, J, Benito-Leon, J, Martinez-Salio, A, Berbel, A. [doi.org]

  Hunt, CH, Dodick, DW, Bosch, EP. SUNCT responsive to gabapentin. Headache 2002 ; 42: 525 – 6. Google Scholar | Crossref | Medline | ISI 27. Matharu, MS, Boes, CJ, Goadsby, PJ. [cep.sagepub.com]

• Camping

  PMID 11843874 29 Gay-Escoda C, Mayor-Subirana G, Camps-Font O, Berini-Aytes L. Sunct syndrome. Report of a case and treatment update. J Clin Exp Dent 2015;7(2):e342-7. PMID 26155359 30 Graff-Radford SB. [medlink.com]

• Hoarseness

  Other features include vertigo, nystagmus, hoarseness, dysphagia, ipsilateral cerebellar signs, and Horner's syndrome. [frontiersin.org]

• Left Shoulder Pain

  When a left shoulder pain was present and a dexamethasone injection was prescribed, the patient was free of head pain for several weeks. [thejournalofheadacheandpain.biomedcentral.com]

• Conjunctival Hyperemia

  Other signs and symptoms that may be seen include conjunctival hyperemia, excessive tearing, apparent enophthalmos, and decreased IOP (4,7). [eyewiki.org]

• Indecisiveness

  Inefficiency of indomethacin usually indicates SUNCT over paroxysmal hemicrania.[6] Misdiagnosis and indecisive diagnosis in the past has made it difficult to obtain accurate statistics about SUNCT. [en.wikipedia.org]

• Headache

  Headache 1995; 35: 138–42 PubMed CrossRef Google Scholar 6. Kruszewski P, Pareja JA, Caminero AB, et al. Cluster headache and SUNCT: similarities and differences. J Headache Pain 2001; 2: 57–66 CrossRef Google Scholar 7. [doi.org]

  Headaches in patients with brain tumors: a study of 111 patients. Neurology 1993;43:1678-1683. [ Links ] 21. Suwanwela N, Phanthumchinda K, Kaoropthum S. Headache in brain tumor: a cross-sectional study. Headache 1994;34:435-438. [ Links ] 22. [scielo.br]

  Prednisone therapy for cluster headache. Headache 1978 ; 18: 219 – 21. Google Scholar | Crossref | Medline | ISI 19. Ekbom, K, Hardebo, JE. Cluster headache: pathogenesis, diagnosis, and management. Drugs 2002 ; 62: 61 – 9. [cep.sagepub.com]

• Cerebellar Sign

  Other features include vertigo, nystagmus, hoarseness, dysphagia, ipsilateral cerebellar signs, and Horner's syndrome. [frontiersin.org]

• Limb Weakness

  Case Presentation A 44-year-old Chinese male was admitted to our hospital with headache, dizziness, nausea, and vomit for 6 days, and right limbs weakness for 2 h. He felt tearing pain on the right face and right temporal occipital. [frontiersin.org]

Diagnostic criteria IHS diagnostic criteria for CPH include the following (see Presentation, Workup, Treatment, and Medication) [4, 5, 6] : At least 50 attacks fulfilling the criteria mentioned in the bullet points below Attacks of severe, unilateral [emedicine.medscape.com]

[…] drug could be considered as an option for the treatment of SUNCT. 1. [doi.org]

[…] drug could be considered as an option for the treatment of SUNCT. [ncbi.nlm.nih.gov]

Prognosis There is no cure for these headaches. The disorder is not fatal but can cause considerable discomfort. x Prognosis There is no cure for these headaches. The disorder is not fatal but can cause considerable discomfort. [ninds.nih.gov]

Outlook / Prognosis What is the prognosis (outlook) for people who have ice pick headaches? Ice pick headaches come and go quickly. They aren’t as debilitating as chronic migraines or headaches. [my.clevelandclinic.org]

Treatment and prognosis Treatment is challenging and many treatments have been tried, none of which have uniformly high success rates 1. [radiopaedia.org]

SUNCT/SUNA Syndromes Diagnosis, Prognosis, and Treatment SUNCT/SUNA syndrome is commonly incorrectly diagnosed as trigeminal neuralgia. Brain MRI is generally recommended for work up to rule out structural lesions responsible for the pain syndrome. [doctorstrizhak.com]

The etiology and pathology of SUNA has yet to be documented. We report an 18-year-old man with SUNA. Lomerizine hydrochloride which is used as a preventive medicine for migraine, improved his headaches. [doi.org]

Indeed, an observation period of more than 5 years speaks against a symptomatic etiology of SUNCT in these cases. Although rarely seen, clinical status may be a feature of the SUNCT syndrome. [ncbi.nlm.nih.gov]

Etiology Etiopathology remains unclear. Trauma, arteriovenous malformations and pituitary adenomas may have a causative role. Diagnostic methods Diagnosis is clinical. Differential diagnosis Trigeminal neuralgia is the major differential diagnosis. [orpha.net]

In the majority of the cases, etiology and pathogenesis are unknown. Accordingly, SUNCT appears in the current classification among the primary headache disorders4; (For a recent review see Cohen et al, 2006)5. [scielo.br]

Summary Epidemiology The prevalence is estimated at approximately 1 in 15,000. It is slightly more predominant in males (male-to-female ratio of 1.5:1), with a mean age of onset of around 50 years. [orpha.net]

The Vågå study; epidemiology of headache I. the prevalence of ultrashort paroxysms. Cephalalgia 2001 ; 21: 207 – 15. Google Scholar | SAGE Journals | ISI [doi.org]

Epidemiology of the TACs Although rare disorders, the TACs and CH specifically may have a genetic preponderance. [acnr.co.uk]

[…] fully characterized in 1989.[4] In 2004, SUNCT was added to the International Classification of Headache Disorders, along with SUNA.[1] Together, they were both classified as subtypes of short lasting unilateral neuralgiform headache attacks in 2013.[1] Epidemiology [eyewiki.org]

We report a patient with prolactinoma and cabergoline-induced SUNCT attacks and the literature is reviewed for a better understanding of the pathophysiology. [ncbi.nlm.nih.gov]

Nahas Medicine, Psychology Current Pain and Headache Reports 2015 The history, pathophysiology, and treatment of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT andSUNA), and both pharmacotherapy and [semanticscholar.org]

Trauninger, A. and Alkonyi, B. and Kovács, N. and Komoly, S. and Pfund, Z. (2010) Methylprednisolone therapy for short-term prevention of SUNCT syndrome. CEPHALALGIA, 30 (6). pp. 735-739. [real.mtak.hu]

Currently there is no option for abortive treatment of the attacks, mainly due to the short-lived nature and frequency of the repeated headaches, while highly efficacious therapy is also unavailable for short-term prevention. [ncbi.nlm.nih.gov]

Lomerizine hydrochloride which is used as a preventive medicine for migraine, improved his headaches. [doi.org]

For acute attacks, IV lidocaine For prevention, antiseizure drugs and/or occipital nerve stimulation or blockade Treatment of SUNCT can include IV lidocaine for acute attacks and, for prevention, antiseizure drugs (eg, lamotrigine, topiramate, gabapentin [msdmanuals.com]