A SUNCT-like headache associated with lateral pontine infarction - case series and systematic review.


Journal

European journal of pain (London, England)
ISSN: 1532-2149
Titre abrégé: Eur J Pain
Pays: England
ID NLM: 9801774

Informations de publication

Date de publication:
12 Mar 2024
Historique:
revised: 18 02 2024
received: 06 11 2023
accepted: 29 02 2024
medline: 13 3 2024
pubmed: 13 3 2024
entrez: 13 3 2024
Statut: aheadofprint

Résumé

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA-like headaches and lateral pontine infarctions. Case series and systematic review. We present three cases diagnosed with SUNCT following lateral pontine infarction on magnetic resonance imaging (MRI), along with a review of these cases and 10 others from the literature. This review suggests a connection between SUNCT/SUNA-like symptoms and lateral pontine infarctions. The section also delves into the anatomy and pathophysiology of these symptoms, proposing a mechanism involving neural pathway remodelling in the lateral brainstem.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA-like headaches and lateral pontine infarctions.
METHODS METHODS
Case series and systematic review.
RESULTS RESULTS
We present three cases diagnosed with SUNCT following lateral pontine infarction on magnetic resonance imaging (MRI), along with a review of these cases and 10 others from the literature.
DISCUSSION AND CONCLUSION CONCLUSIONS
This review suggests a connection between SUNCT/SUNA-like symptoms and lateral pontine infarctions. The section also delves into the anatomy and pathophysiology of these symptoms, proposing a mechanism involving neural pathway remodelling in the lateral brainstem.

Identifiants

pubmed: 38476053
doi: 10.1002/ejp.2261
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 European Pain Federation - EFIC ®.

Références

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Auteurs

Priabprat Jansem (P)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Nattapat Watanapa (N)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Sekh Thanprasertsuk (S)

Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group, Chulalongkorn University, Bangkok, Thailand.
Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Chula Neuroscience Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Wanakorn Rattanawong (W)

Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group, Chulalongkorn University, Bangkok, Thailand.
Department of Medicine, Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok, Thailand.

Thanakit Pongpitakmetha (T)

Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group, Chulalongkorn University, Bangkok, Thailand.
Chula Neuroscience Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Department of Pharmacology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Prakit Anukoolwittaya (P)

Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group, Chulalongkorn University, Bangkok, Thailand.
Chula Neuroscience Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Classifications MeSH