Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection & Tearing syndrome (SUNCT syndrome)

Clinical manifestations

• headaches resemble other trigeminal autonomic cephalgias (cluster headache & paroxysmal hemicrania) except that attacks occur more frequently, 30-100/day & are much shorter in duration 20 seconds to 2 minutes
• periorbital pain (cranial nerve 6)
• autonomic symptoms

Differential diagnosis

• trigeminal neuralgia (periorbital pain & autonomic symptoms in SUNCT syndrome)

Management

• pharmaceutical agents
  • lamotrigine
  • gabapentin
  • topirimate
  • carbamazepine

More general terms

• syndrome
• trigeminal autonomic cephalgia