Síndrome de S.U.N.C.T. Relato de um caso precedido de trauma ocular

Piovesan, Elcio Juliato; Kowacs, Pedro André; Werneck, Lineu Cesar

doi:10.1590/S0004-282X1996000300022

Resumos

Relatamos o caso de um paciente com cefaléia neuralgiforme unilateral de curta duração associada a hiperemia conjuntival e lacrimejamento ipsiloterais (sindrome de S.U.N.C.T.) precedida de trauma ocular ipsolateral. Não encontramos na literatura associação similar. Até que a fisiopatologia da S.U.N.C.T. seja esclarecida, não podemos definir se houve relação causai entre o trauma e a síndrome ou se são epifenômenos.

cefaléia de curta duração; cefaléia vascular; síndrome de SUNCT; traumatismo ocular

Report of case of Short lasting, Unilateral, Neuralgiform headache, associated to Conjuntival injection and Tearing (S.U.N.C.T. syndrome) preceded by ipsilateral ocular trauma. We are not aware of any other report of such association. Until the pathophysiology of the S.U.N.C.T. syndrome becomes completely clarified, the relationship between the preceding ocular trauma and the occurrence of the clinical manifestations remains speculative. Clinical, pathophysiological and therapeutic aspects of the S.U.N.C.T. syndrome are reviewed.

SUNCT syndrome; short-lasting headache; vascular headache; ocular trauma

Síndrome de S.U.N.C.T. Relato de um caso precedido de trauma ocular

S.U.N.C.T. syndrome: report of a case preceded by ocular trauma

Elcio Juliato Piovesan^I; Pedro André Kowacs^II; Lineu Cesar Werneck^III

^IEspecialidade de Neurologia do Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba. Residente

^IIEspecialidade de Neurologia do Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba. Neurologista

^IIIEspecialidade de Neurologia do Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba. Professor Titular

RESUMO

Relatamos o caso de um paciente com cefaléia neuralgiforme unilateral de curta duração associada a hiperemia conjuntival e lacrimejamento ipsiloterais (sindrome de S.U.N.C.T.) precedida de trauma ocular ipsolateral. Não encontramos na literatura associação similar. Até que a fisiopatologia da S.U.N.C.T. seja esclarecida, não podemos definir se houve relação causai entre o trauma e a síndrome ou se são epifenômenos.

Palavras-chave:cefaléia de curta duração, cefaléia vascular, síndrome de SUNCT, traumatismo ocular.

ABSTRACT

Report of case of Short lasting, Unilateral, Neuralgiform headache, associated to Conjuntival injection and Tearing (S.U.N.C.T. syndrome) preceded by ipsilateral ocular trauma. We are not aware of any other report of such association. Until the pathophysiology of the S.U.N.C.T. syndrome becomes completely clarified, the relationship between the preceding ocular trauma and the occurrence of the clinical manifestations remains speculative. Clinical, pathophysiological and therapeutic aspects of the S.U.N.C.T. syndrome are reviewed.

Key words:SUNCT syndrome, short-lasting headache, vascular headache, ocular trauma.

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Agradecimento - Os autores agradecem ao Professor Otto Sjaastad pela sugestões dadas ao artigo.

Aceite: 23-março-1996.

Dr. Élcio Juliato Piovesan - Serviço de Neurologia, Hospital de Clínicas da UFPR - Rua General Carneiro 181, 12° andar - 80069-155 Curitiba PR-Brasil.

1. Farias WS, Valença MM, Serva WD. SUNCT syndrome. Arq Neuropsiquiatr 1994;52(Suppl):0-219.
2. Goadsby PJ, Edvninsson L, Ekman R. Release of vasoactive peptides in the extracerebral circulation of humans and the cat during activation of the trigeminovascular system. Ann Neurol 1988;23:193-196.
3. Hannerz J, Greitz D, Hansson P, Ericson K. SUNCT may be another manifestation of orbital venous vasculitis. Headache 1992;32:384-389.
4. Hannerz J, Hellstrom G, Klum T, Wahlgren NG. Cluster headache and "dynamite headache": blood flow velocities in the middle cerebral artery. Cephalalgia 1990;10:31-38.
5. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988;8(Suppl 7): 1 -96.
6. Kruszewski P. Short-lasting, unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT syndrome): V. Orbital phlebography. Cephalalgia 1992; 12:387-389.
7. Kruszewski P, Fasano ML, Brubakk AO, Shen JM, Sand T, Sjaastad O. Shortlasting, unilateral, neuralgiform headache attacks with conjuntival injection, tearing and subclinical forehead sweating ("SUNCT" syndrome): II. Changes in heart rate and arterial blood pressure during pain paroxysms. Headache 1991 ;31:399-405.
8. Kruszewski P, Sand T, Shen JM, Sjaastad O. Short-lasting unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT syndrome): IV. Respiratory sinus arrhythmia during and outside paroxysms. Headache 1992;32:377-383.
9. Kruszewski P, White LR, Shen JM, Pareja JA, Zhao JM, Schaanning J, Sjaastad O. Respiratory studies in SUNCT syndrome. Headache 1995;35:344-348.
10. Kruszewski P, Zhato JM, Shen JM, Sjaastad O. SUNCT syndrome: forehead sweating pattern. Cephalalgia 1993;13:108-113.
11. Morales F, Mostacero E, Marta J, Sanches S. Vascular malformation of the cerebellopontine angle associated with "SUNCT" syndrome. Cephalalgia 1994; 14:301 -302.
12. Olesen J, Tfelt-Hansen P, Welch KM A. The headaches. New York: Raven Press; 1993.
13. Pareja JA, Kruszeewski P, Sjaastad O. SUNCT syndrome: trials of drugs and anesthetic blockades. Headache 1995;35:138-142.
14. Pareja JA, Pareja J, PalomoT, Caballero V, Pamo M. SUNCT syndrome: repetitive and overlapping attacks. Headache 1994;34:114-116.
15. Pareja JA, Sjaastad O. SUNCT syndrome in the female. Headache 1994;34:217-220.
16. Poughias L, Aasly J. SUNCT syndrome: cerebral SPECT images during attacks. Headache 1995;35:143-145.
17. Shen JM. Transcranial Doppler sonography in chronic paroxysmal hemicrania. Headache 1993;33:493-496.
18. Shen JM, Johnsen HJ. Estimation of cerebral blood flow velocity with transcranial Doppler ultrasonography. Headache 1994;34:125-131.
19. Sjaastad O, Kruszewski P. Trigeminal neuralgia and "SUNCT" syndrome: similarities and differences in the clinical pictures. Funct Neurol 1992;7:103-107.
20. Sjaastad O, Kruszewski P, Fostad K, Elsas T, Quigstad G. SUNCT syndrome: VII. Ocular and related variables. Headache 1992;32:489-495.
21. Sjaastad O, Russel D, Horven I, Brunaes U. Multiple neuralgiform unilateral headache attacks associated with conjunctival injection and appearing in clusters: a nosological problem. Proc Scand Migraine Soc, 1978,31.
22. Sjaastad O, Zhao JM, Kruszewski P, Stouner LI. Short-lasting unilateral neuralgiform headache attacks with conjunctival injection, tearing, etc. (SUNCT): III Another Norwegian case. Headache 1991;31:175-177.
23. Tollison CD, Kunkel RS. Headache, diagnosis and treatment. Baltimore: Williams&Wilkins, 1993.
24. Zhao JM, Sjaastad O. SUNCT syndrome: VIII. Pupillary reaction and corneal sensitivity. Funct Neurol 1993;8:409-414.

Datas de Publicação

Publicação nesta coleção
10 Nov 2010
Data do Fascículo
Set 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Farias WS, Valença MM, Serva WD. SUNCT syndrome. Arq Neuropsiquiatr 1994;52(Suppl):0-219.

[2] 2. Goadsby PJ, Edvninsson L, Ekman R. Release of vasoactive peptides in the extracerebral circulation of humans and the cat during activation of the trigeminovascular system. Ann Neurol 1988;23:193-196.

[3] 3. Hannerz J, Greitz D, Hansson P, Ericson K. SUNCT may be another manifestation of orbital venous vasculitis. Headache 1992;32:384-389.

[4] 4. Hannerz J, Hellstrom G, Klum T, Wahlgren NG. Cluster headache and "dynamite headache": blood flow velocities in the middle cerebral artery. Cephalalgia 1990;10:31-38.

[5] 5. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988;8(Suppl 7): 1 -96.

[6] 6. Kruszewski P. Short-lasting, unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT syndrome): V. Orbital phlebography. Cephalalgia 1992; 12:387-389.

[7] 7. Kruszewski P, Fasano ML, Brubakk AO, Shen JM, Sand T, Sjaastad O. Shortlasting, unilateral, neuralgiform headache attacks with conjuntival injection, tearing and subclinical forehead sweating ("SUNCT" syndrome): II. Changes in heart rate and arterial blood pressure during pain paroxysms. Headache 1991 ;31:399-405.

[8] 8. Kruszewski P, Sand T, Shen JM, Sjaastad O. Short-lasting unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT syndrome): IV. Respiratory sinus arrhythmia during and outside paroxysms. Headache 1992;32:377-383.

[9] 9. Kruszewski P, White LR, Shen JM, Pareja JA, Zhao JM, Schaanning J, Sjaastad O. Respiratory studies in SUNCT syndrome. Headache 1995;35:344-348.

[10] 10. Kruszewski P, Zhato JM, Shen JM, Sjaastad O. SUNCT syndrome: forehead sweating pattern. Cephalalgia 1993;13:108-113.

[11] 11. Morales F, Mostacero E, Marta J, Sanches S. Vascular malformation of the cerebellopontine angle associated with "SUNCT" syndrome. Cephalalgia 1994; 14:301 -302.

[12] 12. Olesen J, Tfelt-Hansen P, Welch KM A. The headaches. New York: Raven Press; 1993.

[13] 13. Pareja JA, Kruszeewski P, Sjaastad O. SUNCT syndrome: trials of drugs and anesthetic blockades. Headache 1995;35:138-142.

[14] 14. Pareja JA, Pareja J, PalomoT, Caballero V, Pamo M. SUNCT syndrome: repetitive and overlapping attacks. Headache 1994;34:114-116.

[15] 15. Pareja JA, Sjaastad O. SUNCT syndrome in the female. Headache 1994;34:217-220.

[16] 16. Poughias L, Aasly J. SUNCT syndrome: cerebral SPECT images during attacks. Headache 1995;35:143-145.

[17] 17. Shen JM. Transcranial Doppler sonography in chronic paroxysmal hemicrania. Headache 1993;33:493-496.

[18] 18. Shen JM, Johnsen HJ. Estimation of cerebral blood flow velocity with transcranial Doppler ultrasonography. Headache 1994;34:125-131.

[19] 19. Sjaastad O, Kruszewski P. Trigeminal neuralgia and "SUNCT" syndrome: similarities and differences in the clinical pictures. Funct Neurol 1992;7:103-107.

[20] 20. Sjaastad O, Kruszewski P, Fostad K, Elsas T, Quigstad G. SUNCT syndrome: VII. Ocular and related variables. Headache 1992;32:489-495.

[21] 21. Sjaastad O, Russel D, Horven I, Brunaes U. Multiple neuralgiform unilateral headache attacks associated with conjunctival injection and appearing in clusters: a nosological problem. Proc Scand Migraine Soc, 1978,31.

[22] 22. Sjaastad O, Zhao JM, Kruszewski P, Stouner LI. Short-lasting unilateral neuralgiform headache attacks with conjunctival injection, tearing, etc. (SUNCT): III Another Norwegian case. Headache 1991;31:175-177.

[23] 23. Tollison CD, Kunkel RS. Headache, diagnosis and treatment. Baltimore: Williams&Wilkins, 1993.

[24] 24. Zhao JM, Sjaastad O. SUNCT syndrome: VIII. Pupillary reaction and corneal sensitivity. Funct Neurol 1993;8:409-414.