SUNCT: a new case with some unusual features

Raudino, Francesco

doi:10.1007/s10194-005-0246-2

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2009

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“…The symptoms of the presented case are compatible both with SUNCT or TN. Notably, the miosis referred by our patient is sometimes described in SUNCT [ 8 , 11 – 13 ]. It was not possible to assess the lack of a refractory period in our patient, which was considered a good clinical feature of SUNCT diagnosis [ 2 ] but not more helpful in comparison with other features [ 3 ].…”

Section: Discussionmentioning

confidence: 84%

SUNCT syndrome or first division trigeminal neuralgia associated with cerebellar hypoplasia

Panconesi¹,

Bartolozzi²,

Guidi³

2009

J Headache Pain

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Short-lasting unilateral neuralgiform headache (SUNCT) and first division trigeminal neuralgia (TN) are rare and very similar periorbital unilateral pain syndromes. Few cases of SUNCT are associated with posterior skull lesions. We describe a 54-year-old man with symptoms compatible with both the previous painful syndromes, associated with a small posterior skull and a cerebellar hypoplasia. The short height and the reported bone fractures could be compatible with a mild form of osteogenesis imperfecta, previously described in one case associated with SUNCT. However, a hypoplastic posterior cranial fossa characterizes also Chiari I malformation. The difficult differential diagnosis between SUNCT and TN and their relation with posterior skull malformations is debated.

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