Dramatic response of intravenous lidocaine in a patient with status like SUNA: A case report and brief review of literature

Cephalalgia Reports

DebashishChowdhury¹ 

关键词: lidocaine;    short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms;    status;    treatment;   

DOI  :  10.1177/2515816318804816

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) are rare primary headaches that can sometimes present with a status like pattern which can be highly disabling. Intravenous (IV) lidocaine has been reported to be useful in status like SUNCT but its use in status like SUNA remains unexplored. We report a patient of episodic SUNA who despite on multiple conventional drugs had status like presentation. He had an excellent sustained response to IV lidocaine. Relevant literature on treatment of status like SUNCT/SUNA is briefly reviewed. IV lidocaine can be a very useful treatment for status like SUNA.

【 授权许可】

CC BY