Bilateral SUNCT syndrome associated to chronic maxillary sinus disease

Arquivos de Neuro-Psiquiatria

Denis Bernardi Bichuetti¹  Wellington Yugo Yamaoka¹  João Ricardo Parrela Bastos¹  Deusvenir De Souza Carvalho¹ 

[1] ,Federal University of São Paulo Escola Paulista de Medicina Department of Neurology and NeurosurgerySão Paulo SP ,Brazil

关键词: SUNCT;    bilateral;    sinusitis;    gabapentina;    SUNCT;    bilateral;    sinusite;    gabapentina;   

DOI  :  10.1590/S0004-282X2006000300028

来源: SciELO

【 摘 要 】

SUNCT syndrome (short lasting unilateral neuralgiform headache with conjuntival injection and tearing) is defined as short attacks of periorbital unilateral pain and accompanied by ipsilateral lacrimation and redness of the same eye. We present an unusual SUNCT case with bilateral pain that started five years ago after an acute maxillary sinus infection that evolved to chronic sinusitis. This association has been described in few SUNCT cases, but its causal role remains uncertain. The patient was a 58 years old man that fulfilled a headache diary that showed the usual circadian pattern, worsening in the morning and afternoon, and responded to treatment with gabapentina. He was submitted to a functional endoscopic sinus surgery and evolved with milder pain. In a review of 21 patients, 5 had a past medical history of sinusitis, but the causal role of this association remained uncertain.

【 授权许可】

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