Refractory short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing responsive to anti-calcitonin gene-related peptide monoclonal antibodies: A case report.


Journal

Cephalalgia : an international journal of headache
ISSN: 1468-2982
Titre abrégé: Cephalalgia
Pays: England
ID NLM: 8200710

Informations de publication

Date de publication:
01 2021
Historique:
pubmed: 2 9 2020
medline: 15 12 2021
entrez: 2 9 2020
Statut: ppublish

Résumé

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare but severely disabling variant within the spectrum of trigeminal autonomic cephalalgia lacking evidence-based treatment. We report a case of chronic SUNCT in a 67-year-old man refractory to various guideline-conforming treatment attempts responding excellently to galcanezumab. This case report indicates that monoclonal antibodies against calcitonin gene-related peptide, specifically galcanezumab, might be a treatment option for SUNCT warranting further investigation.

Sections du résumé

BACKGROUND
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare but severely disabling variant within the spectrum of trigeminal autonomic cephalalgia lacking evidence-based treatment.
CASE
We report a case of chronic SUNCT in a 67-year-old man refractory to various guideline-conforming treatment attempts responding excellently to galcanezumab.
CONCLUSIONS
This case report indicates that monoclonal antibodies against calcitonin gene-related peptide, specifically galcanezumab, might be a treatment option for SUNCT warranting further investigation.

Identifiants

pubmed: 32867531
doi: 10.1177/0333102420954558
doi:

Substances chimiques

Antibodies, Monoclonal 0
Calcitonin Gene-Related Peptide JHB2QIZ69Z

Types de publication

Case Reports Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

127-130

Auteurs

Gabriel Bsteh (G)

Department of Neurology, Medical University of Vienna, Vienna, Austria.

Christian Bsteh (C)

Neurologist, Salzburg, Austria.

Gregor Broessner (G)

Department of Neurology, Headache Outpatient Clinic, Medical University of Innsbruck, Innsbruck, Austria.

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Classifications MeSH