Abstract
The short-lasting primary headache syndromes may be conveniently divided into those exhibiting marked autonomic activation and those without autonomic activation. The former group comprises chronic and episodic paroxysmal hemicrania, short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT syndrome) and cluster headache. SUNCT is relatively rare, with a recent study showing a prevalence of 6.6/100,000 and an incidence of 1.2/100,000. The disorder has a male preponderance, with a sex ratio of 2:1.The typical age of onset is between 40 and 70 years, with a mean age of onset at 48 years.
Highlights
The short-lasting primary headache syndromes may be conveniently divided into those exhibiting marked autonomic activation and those without autonomic activation
We start the treatment with sodium valproate up to 1500 mg/d and after one month the patient had a significant reduction of attacks and their severity
The most of drugs used in treatment of primary headaches are ineffective in the treatment of SUNCT syndrome
Summary
The short-lasting primary headache syndromes may be conveniently divided into those exhibiting marked autonomic activation and those without autonomic activation. The former group comprises chronic and episodic paroxysmal hemicrania, short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT syndrome) and cluster headache. SUNCT is relatively rare, with a recent study showing a prevalence of 6.6/100,000 and an incidence of 1.2/100,000. The disorder has a male preponderance, with a sex ratio of 2:1.The typical age of onset is between 40 and 70 years, with a mean age of onset at 48 years. Authors’ details 1Neurology, UHC Mother Teresa, Tirana, Albania. The Journal of Headache and Pain 2014 15(Suppl 1):C33
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