Seasonal Periodicity in SUNCT Syndrome

Irimia, P.; Larraya, J Gállego-Pérez; Vilà, E.

doi:10.1111/j.1468-2982.2007.01434.x

Cited by 12 publications

(13 citation statements)

References 14 publications

(28 reference statements)

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“…The pathogenetic hypothesis of central origin and the predominant role of hypothalamus is also supported by the clinical observation that TACs could in fact have a circannual periodicity. In our patient, we observed an exclusive seasonal pattern that was found to be related to cluster headache, 8 paroxysmal hemicrania 9 and, recently, in the SUNCT syndrome 10 where the headache attacks occurred in 2 cycles annually, particularly during September, and again from February to March (circannual periodicity). Our case report (SUNA patient) instead describes a seasonal pattern in which the attacks recurred only once a year, from November to February.…”

Section: Discussionsupporting

confidence: 55%

SUNA Syndrome With Seasonal Pattern

Baldacci

Nuti²,

Lucetti³

et al. 2009

Headache

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SUNA is a trigeminal autonomic cephalalgia (TAC) characterized by short unilateral attacks centered on the ophthalmic trigeminal distribution, and accompanied by at least one of a number of cranial autonomic symptoms that can include lacrimation, redness of the ipsilateral eye, nasal congestion, rhinorrhea, and eyelid edema. It exists in episodic and chronic form. We have described an atypical case of episodic SUNA with an exclusive seasonal pattern as previously reported in other trigeminal autonomic cephalalgia, commonly known as TACs.

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Section: Discussionsupporting

confidence: 55%

SUNA Syndrome With Seasonal Pattern

Baldacci

Nuti²,

Lucetti³

et al. 2009

Headache

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“…Conversely, several patients with PH have responded well to verapamil, a preventive agent traditionally used to treat CH 16‐18 . Also, similar to many CH patients, 3 PH patients have been reported with clear circumannual patterns, 19‐21 as well as 1 patient with SUNCT 22 . Interestingly, in a recent large prospective series of 31 PH patients, 58% of the patients had some degree of interictal pain, similar to patients with HC 23 …”

Section: Discussionmentioning

confidence: 90%

Coexisting Trigeminal Autonomic Cephalalgias and Hemicrania Continua

2010

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The trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) share many clinical characteristics including unilateral pain and ipsilateral autonomic features. We report a patient with a history of migraine without aura who developed cluster headache and HC simultaneously. The distinctive clinical features and differential response profiles to various treatments indicates that they are distinct disorders. We then review previous reports of patients with coexisting TACs and HC and discuss the relationship between these families of primary headache disorders.

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“…A seasonal pattern in headache is the hallmark of CH. However, a seasonal variability may also occur occasionally in other headaches, including migraine, paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) 5–7. A seasonal pattern with clustering is a diagnostic clue for CH 2.…”

Section: Discussionmentioning

confidence: 99%

A case of remitting hemicrania continua with seasonal variation and clustering: a diagnostic confusion with cluster headache

Prakash¹,

Rawat

2019

BMJ Case Rep

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Hemicrania continua (HC) is an indomethacin responsive primary headache that is characterised by a continuous strictly unilateral headache with periodic exacerbations. About 15% may have a remitting subtype of HC. Herein, we are reporting a 36-year-old man who had a 5-year history of episodic right-sided headaches. The headaches used to occur in a discrete series lasting 4–6 weeks, separated by pain-free remissions of 10–11 months. In each relapse, he had continuous background pain with superimposed exacerbations. The superimposed exacerbations were 1–2 attacks per day, lasting for 2–5 hours, and were associated with ipsilateral cranial autonomic symptoms. However, the patient did not respond to usual therapies of custer headache (CH). He had a complete response to indomethacin. We suggest that remitting subtype of HC may mimic CH. A therapeutic trial of indomethacin should be done in all strictly unilateral headaches who are not responding to other drugs.

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Seasonal Periodicity in SUNCT Syndrome

Cited by 12 publications

References 14 publications

SUNA Syndrome With Seasonal Pattern

SUNA Syndrome With Seasonal Pattern

Coexisting Trigeminal Autonomic Cephalalgias and Hemicrania Continua

A case of remitting hemicrania continua with seasonal variation and clustering: a diagnostic confusion with cluster headache

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