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Deep brain stimulation to relieve drug‐resistant SUNCT
Author(s) -
Leone Massimo,
Franzini Angelo,
D'Andrea Giovanni,
Broggi Giovanni,
Casucci Gerardo,
Bussone Gennaro
Publication year - 2005
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.20507
Subject(s) - medicine , stimulation , magnetic resonance imaging , anesthesia , deep brain stimulation , hypothalamus , implant , surgery , radiology , disease , parkinson's disease
The rare primary headache short‐lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is characterized by 3 to 200 attacks per day of severe unilateral orbital pain. Functional magnetic resonance imaging shows increased blood flow in the ipsilateral posterior inferior hypothalamus during attacks, indicating activation. We report the first patient with SUNCT in whom severe intractable pain (70 per day) was well controlled by electrode implant to and continuous stimulation of the posterior inferior hypothalamus. Ann Neurol 2005;57:925–927