SUNCT SYNDROME - CASE-REPORT AND LITERATURE-REVIEW

The case of a woman with short neuralgiform paroxysmal pain of 2 years duration is described. Pain attacks were always accompanied by ipsila teral lacrimation and conjunctival injection. Standard anti-neuralgic therapy, amitriptyline and indomethacin, failed to eliminate or reduce pain. At the end of a 30-month active period the patient seemed to ha ve gone into remission. We believe this to be a case of short-lasting. unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) the first reported in the dental literature and t he 24th in the general medical literature. The differential diagnosis of the case and relevant literature are discussed.