Temporal response to bupivacaine bilateral great occipital block in a patient with SUNCT syndrome

Porta‐Etessam, Jesús; Cuadrado, María‐Luz; Galán, Lucía; Sampedro, Arturo; Valencia, César Augusto Restrepo

doi:10.1007/s10194-010-0204-5

Cited by 22 publications

(17 citation statements)

References 5 publications

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“…Some studies have reported improvements in patients treated with GON injections. [9,10] Cohen et al [11] reported satisfactory results for the use of GON block in treating patients with SUNCT. In a series of patients, Pareja et al [3] reported that GON and supra-and infraorbital blocks were not beneficial in patients with SUNCT.…”

Section: Discussionmentioning

confidence: 99%

Peripheral nerve blocks in the treatment of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) during pregnancy

Yalın¹

2017

Agri

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ÖzetKonjunktival injeksiyon ve göz yaşarması ile birlikte kısa-süreli unilateral nevraljifrm başağrısı atakları (SUNCT), trigeminal otonomik başağrıları içerisinde sınıflandırılan nadir gözlenen bir primer başağrısı bozukluğudur. SUNCT genellikle tedaviye dirençli bir sendrom olarak kabul edilmesine rağmen son yıllarda antiepileptik ilaçlar ile anlamlı düzelme bildirilmektedir. Hastalığın gebelikteki seyri ve tedavisi ile ilgili literatürde bilgi yoktur. Bu çalışmada 30 haftalık gebelik sırasında SUNCT atağı yaşayan, infra-ve supraorbital sinir blokajı ile başarılı bir şekilde tedavi edilen bir olgu sunulmaktadır. Aslında gebelik döne-minde lamotrijin kısmen güvenli olarak kullanılmaktadır, fakat periferal sinir blokajı uygulanması pratik, güvenli ve etkin bir alternatif tedavi seçeneğidir. Bu olgu literatürde gebelik döneminde infra-ve supraorbital sinir blokajı ile başarılı bir şekilde tedavi edilen ilk SUNCT hastasıdır.Anahtar sözcükler: Infraorbital; sinir blokajı; SUNCT; supraorbital. SummaryShort-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare, primary headache syndrome, which is classified as a subtype of trigeminal autonomic cephalalgias. Although SUNCT is usually refractory to treatment, several antiepileptic drugs have recently shown promising results for its treatment. However, there is a lack of evidence regarding the course of SUNCT during pregnancy and the available treatment options. Here, we present a 30-week pregnant female with SUNCT who was successfully treated with infra-and supraorbital nerve blocks. Headache attacks completely diminished after the injection, and recurrence was not observed. Although lamotrigine may be relatively safe in pregnant patients with SUNCT attacks, peripheral nerve block may be a feasible technique and can be considered as a safe and effective treatment option. This is the first SUNCT case in the literature that was successfully treated with infra-and supraorbital nerve blocks during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Peripheral nerve blocks in the treatment of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) during pregnancy

Yalın¹

2017

Agri

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“…However, Choi et al reported a 62-year-old woman with secondary SUNCT following a whiplash injury who had improvement following three weekly injections of the greater occipital nerve with triamcinolone 40 mg, dexamethasone 10 mg, and 2 mL of 1 % lidocaine [28]. Another group reported a 48-hour period free of attacks in an 82-year-old woman following bilateral GON block [29]. Cohen reported a good effect of GON block in 5 of 8 patients with SUNCT who had pain-free intervals lasting from 1 week to 6 months.…”

Section: Nerve Blocksmentioning

confidence: 92%

SUNCT/SUNA: A Review

Pomeroy

Nahas

2015

Curr Pain Headache Rep

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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting neuralgiform headache attacks with cranial autonomic features (SUNA) are rare headache disorders characterized by severe, short-lasting headaches. These headache disorders are often refractory to treatment and can be secondary phenomena. This article reviews the history, pathophysiology, and treatment of these disorders. Both pharmacotherapy and procedural interventions are discussed in context of historical and more recent reports.

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“…Occipital nerve blocks may also useful in patients who cannot take oral preventives due to adverse effects or other reasons. It must be noted that although there are some positive results with GON in SUN, using steroid plus lidocaine 9 or bupivacaine alone, 35 there is also one report in which two patients with SUN did not respond to GON. 36 Side effects of GON blockade include paresthesias in the region of the greater occipital nerve, dizziness, localized hair loss, and the injections can transiently make the headaches worse.…”

Section: Intravenous Lidocainementioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%