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SUNCT由Sjaastad等于1978年首次描述,是一种少见的头痛综合征。表现为绝对单侧头痛,以短暂持续(15～120秒),中至重度疼痛,伴有结膜充血、流泪、鼻塞或鼻溢及眼和眼周围不明显出汗为特征。本病需与丛集性头痛、慢性发作性偏头痛和三叉神经痛(TN)相鉴别,但最困难的是与TN鉴别。此文报道一例男性病人,开始诊断为第一支TN,后重新诊断为SUNCT。 病人出生于1919年,既往健康,家庭中无头痛患者。64岁首次发生左侧头痛,为中度,持续10至15秒,位于左眶上部,与三叉神经第一支分布区一致。每天发作3～5次,持续3～4个月。“丛集性”发作主要在秋季,每年一次。疼痛发作总是伴有结膜充
SUNCT, first described by Sjaastad in 1978, is a rare headache syndrome. It manifests as an absolute unilateral headache characterized by brief persistence (15 to 120 seconds), moderate to severe pain accompanied by conjunctival congestion, tearing, stuffy nose or rhinorrhea, and insignificant sweating around the eyes and eyes. The disease need to cluster headache, chronic migraine headache and trigeminal neuralgia (TN) phase identification, but the most difficult is to identify with TN. This article reports a case of male patients, began to diagnose the first TN, later re-diagnosed as SUNCT. The patient was born in 1919 and was previously healthy with no headache in the family. 64-year-old for the first time left headache, moderate, lasted 10 to 15 seconds, located in the upper left supraorbital, and the first trigeminal nerve distribution consistent. Attack 3 to 5 times a day for 3 to 4 months. “Cluster” seizures mainly in the fall, once a year. The pain is always accompanied by conjunctival hyperemia