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SUNCT may be Another Manifestation of Orbital Venous Vasculitis
Author(s) -
Hannerz Jan,
Greitz Dan,
Hansson Per,
Ericson Kaj
Publication year - 1992
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1992.hed3208384.x
Subject(s) - medicine , vasculitis , sumatriptan , carbamazepine , anesthesia , rhinorrhea , dermatology , surgery , epilepsy , receptor , disease , psychiatry , agonist
SYNOPSIS A patient with more than 20 years of SUNCT, i.e., Iong lasting periods with frequent attacks of intense orbital pain with a duration of about one minute, associated with ipsilateral conjunctival injection, lacrimation, rhinorrhea and facial sweating is described. Some attacks were possibly related to increased cerebral blood flow but could also be triggered from the oral area. Orbital phlebography showed pathologic changes on the side of the pain, changes which were normalized when the attacks ceased to appear. Due to these findings in conjunction with serum evidence of inflammation, associated systemic symptoms and susceptibility to steroids and azathioprine, venous vasculitis is suggested to be the cause of SUNCT in this patient. Carbamazepine and sumatriptan decreased the frequency, intensity and duration of attacks, although not completely.