SUNCT SYNDROME - 2 CASES IN ARGENTINA

Two patients suffering from SUNCT syndrome are presented. Some feature s are remarkable. The first patient was a 69-year-old man whose first crisis was located in the right supraorbital region. After a 4-month s pontaneous remission. the pain returned to the upper part of the cheek , radiating to the supraciliary region on the same side, with lacrimat ion and conjunctival injection. Rhinorrhea was absent. The painful att acks were triggered by head movements. Clinical improvement occurred w ith carbamazepine treatment. The second patient was a 48-year-old woma n whose painful attacks lasted from 30 to 45 seconds followed by a bur ning sensation lasting 2 hours. Autonomic signs such as conjunctival i njection, lacrimation, and edema and ipsilateral ptosis of the upper l id were rather marked. There was never any rhinorrhea. Her attacks wer e triggered by head and eye movements. She responded to the administra tion of corticosteroids and carbamazepine. According to these features , the two patients had SUNCT syndrome, and the positive carbamazepine response suggests a relationship with trigeminal neuralgia.