SUNCT syndrome secondary to multiple sclerosis: Not only trigeminal neuralgia.

Pain SUNCT disability multiple sclerosis trigeminal neuralgia

Journal

Multiple sclerosis (Houndmills, Basingstoke, England)
ISSN: 1477-0970
Titre abrégé: Mult Scler
Pays: England
ID NLM: 9509185

Informations de publication

Date de publication:
01 Mar 2024
Historique:
medline: 1 3 2024
pubmed: 1 3 2024
entrez: 1 3 2024
Statut: aheadofprint

Résumé

Facial pain in multiple sclerosis is often due to trigeminal neuralgia but atypical pictures can be observed. A man with primary progressive multiple sclerosis developed severe unilateral facial pain in the right orbital region. Spontaneous and triggered attacks were associated with ipsilateral conjunctival injection and lacrimation. A diagnosis of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing was made, and symptoms significantly improved with lamotrigine. Pain is poorly investigated in multiple sclerosis, with a dramatic impact on patients' life quality. In this light, standardized evaluation of pain is needed to improve patient management.

Sections du résumé

BACKGROUND UNASSIGNED
Facial pain in multiple sclerosis is often due to trigeminal neuralgia but atypical pictures can be observed.
CASE PRESENTATION UNASSIGNED
A man with primary progressive multiple sclerosis developed severe unilateral facial pain in the right orbital region. Spontaneous and triggered attacks were associated with ipsilateral conjunctival injection and lacrimation. A diagnosis of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing was made, and symptoms significantly improved with lamotrigine.
CONCLUSION UNASSIGNED
Pain is poorly investigated in multiple sclerosis, with a dramatic impact on patients' life quality. In this light, standardized evaluation of pain is needed to improve patient management.

Identifiants

pubmed: 38426436
doi: 10.1177/13524585241235535
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

13524585241235535

Déclaration de conflit d'intérêts

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Giada Giuliani (G)

Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Chiara Zilli (C)

Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Francesca Caramia (F)

Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Vittorio Di Piero (V)

Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy/University Consortium for Adaptive Disorders and Head Pain (UCADH), Pavia, Italy.

Marta Altieri (M)

Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Classifications MeSH