Refractory Short-Lasting Unilateral Neuralgiform Headache Attacks With Conjunctival Injection and Tearing (SUNCT) Responding to Erenumab Adjuvant Therapy: A Case Report.

calcitonin gene related peptide erenumab short-lasting unilateral neuralgiform headache attacks sunct sunha

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Apr 2022
Historique:
accepted: 23 04 2022
entrez: 27 5 2022
pubmed: 28 5 2022
medline: 28 5 2022
Statut: epublish

Résumé

Many patients with short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) fail to respond to the first-line treatment of lamotrigine. Additionally, data for other treatments are limited in this rare headache disorder. SUNCT involves activation of the trigeminal nerve which uses the neuropeptide calcitonin gene-related peptide (CGRP); thus CGRP-targeted treatments may be beneficial in this disorder. We present a patient with SUNCT who failed to respond optimally to 10 medications and four surgical treatments. However, she had minimal attacks after erenumab 140 mg was added to carbamazepine 200 mg three times daily and pregabalin 75 mg twice daily. Decreasing any of these three medications worsened her attacks. Our case represents the second case report of a SUNCT patient responding to a CGRP monoclonal antibody, suggesting this treatment may be a consideration in refractory SUNCT.

Identifiants

pubmed: 35619866
doi: 10.7759/cureus.24403
pmc: PMC9126469
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e24403

Informations de copyright

Copyright © 2022, Moond et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Vishali Moond (V)

Internal Medicine, University College of Medical Sciences, Delhi, IND.

Katherine Hamilton (K)

Department of Neurology, Georgetown University Medical Center, Washington DC, USA.

Rebecca Martinez (R)

Department of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.

Claudia Carrizo (C)

Department of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.

Mark Burish (M)

Department of Neurosurgery, University of Texas Health Science Center at Houston, Houston, USA.

Classifications MeSH