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

IF 3.5 2区医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-03-12 DOI:10.1002/ejp.2261

Priabprat Jansem, Nattapat Watanapa, Sekh Thanprasertsuk, Wanakorn Rattanawong, Thanakit Pongpitakmetha, Prakit Anukoolwittaya

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Abstract

Background and Aim

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

Case series and systematic review.

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

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.

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与脑桥外侧梗死相关的 SUNCT 类头痛--病例系列和系统回顾。

背景和目的：伴有结膜注射和撕裂的短程单侧神经样头痛发作（SUNCT）和自主神经症状（SUNA）属于三叉神经自主性头痛（TAC）。该研究探讨了SUNCT/SUNA样头痛与外侧桥脑梗死之间的潜在关联：方法：病例系列和系统回顾：结果：我们介绍了三例经磁共振成像（MRI）诊断为脑桥外侧梗死的 SUNCT 病例，并回顾了这些病例和其他 10 篇文献：讨论和结论：这篇综述表明，SUNCT/SUNA 类症状与侧桥脑梗塞之间存在联系。本节还深入探讨了这些症状的解剖学和病理生理学，提出了一种涉及外侧脑干神经通路重塑的机制。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.