We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Case Report: Coexistence of SUNCT and Hypnic Headache in the Same Patient.
- Authors
Fantini, Jacopo; Granato, Antonio; Zorzon, Marino; Manganotti, Paolo
- Abstract
Background Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and hypnic headache (HH) are two exceedingly rare and distinctly classified primary headaches. The hypothalamus seems to be a crucial region involved in the pathophysiology of both conditions, but no cases of SUNCT and HH co-occurrence have been described so far. Case results A 49-year-old woman who has been suffering from SUNCT for years, with alternation of symptomatic periods and remissions, developed a new headache with different clinical features, presenting exclusively during sleep and with a dramatic responsiveness to caffeine, that met the diagnostic criteria for HH. Conclusions The available literature suggests that SUNCT and HH are different conditions but the association in the same patient that we describe supports the concept that they are not mutually exclusive. Further studies are needed to establish if they share a common pathophysiological mechanism.
- Subjects
CAFFEINE; TREATMENT effectiveness; PRIMARY headache disorders; SUNCT syndrome; THERAPEUTICS
- Publication
Headache: The Journal of Head & Face Pain, 2016, Vol 56, Issue 9, p1503
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1111/head.12844