Bilateral SUNCT syndrome associated to chronic maxillary sinus disease

Bilateral SUNCT syndrome associated to chronic maxillary sinus disease

Alternative title Síndrome SUNCT de ocorrência bilateral associada a sinusopatia maxilar crônica
Author Bichuetti, Denis Bernardi Autor UNIFESP Google Scholar
Yamaoka, Wellington Yugo Autor UNIFESP Google Scholar
Bastos, João Ricardo Parrela Autor UNIFESP Google Scholar
Carvalho, Deusvenir de Souza Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract SUNCT syndrome (short lasting unilateral neuralgiform headache with conjuntival injection and tearing) is defined as short attacks of periorbital unilateral pain and accompanied by ipsilateral lacrimation and redness of the same eye. We present an unusual SUNCT case with bilateral pain that started five years ago after an acute maxillary sinus infection that evolved to chronic sinusitis. This association has been described in few SUNCT cases, but its causal role remains uncertain. The patient was a 58 years old man that fulfilled a headache diary that showed the usual circadian pattern, worsening in the morning and afternoon, and responded to treatment with gabapentina. He was submitted to a functional endoscopic sinus surgery and evolved with milder pain. In a review of 21 patients, 5 had a past medical history of sinusitis, but the causal role of this association remained uncertain.

A síndrome SUNCT (short lasting unilateral neuralgiform headache with conjuntival injection and tearing) é definida como curtos ataques de dor periorbital unilateral, acompanhada de lacrimejamento e hiperemia conjuntival ipsilateral. Apresentamos um raro caso de SUNCT com dor bilateral com evolução de cinco anos e iniciado após uma infecção de seio maxilar que evoluiu para sinusite crônica. Esta associação foi descrita em poucos casos de SUNCT, porém pouco esclarecida. O paciente era um homem de 58 anos que preencheu um diário de dor que demonstrou o típico padrão circadiano da síndrome, com pioras matinais e vespertinas, e apresentou melhora com uso de gabapentina. Submetido a cirurgia endoscópica funcional em seio maxilar e evoluiu com modulação da dor, sugerindo um potencial efeito benéfico após tratamento da sinusopatia.Na revisão de literatura encontramos 21 casos de SUNCT bilateral, cinco dos quais apresentavam história de sinusite; no entanto, a relação entre as duas entidades permanece ainda incerta.
Keywords SUNCT
bilateral
sinusitis
gabapentina
SUNCT
bilateral
sinusite
gabapentina
Language English
Date 2006-06-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 64, n. 2b, p. 504-506, 2006.
ISSN 0004-282X (Sherpa/Romeo)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 504-506
Origin http://dx.doi.org/10.1590/S0004-282X2006000300028
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X2006000300028 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/3065

Show full item record




File

Name: S0004-282X2006000300028.pdf
Size: 185.5Kb
Format: PDF
Description:
Open file

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account