Hannerz J, Linderoth B
Department of Neurology, Karolinska Hospital, Stockholm, Sweden.
Br J Neurosurg. 2002 Feb;16(1):55-8. doi: 10.1080/026886902753512600.
Trigeminal neuralgia solely involving the upper trigeminal nerve branch is rare. The SUNCT syndrome (short-lasting, unilateral, neuralgiform hemicrania with conjunctival injection and tearing) in which the periorbital pain lasts for 60-120 s, and is accompanied by conjunctival injection and tearing is even less common. Unlike trigeminal neuralgia, SUNCT is usually not relieved by medication. Three patients with SUNCT were treated with retrogasserian glycerol rhizolysis, two of them twice. All five treatments provided complete pain relief and the duration of the effects was 2 to more than 4 years. One of these three patients also had a third treatment with compression of retroganglionic fibres with a Fogarthy balloon, according to Mullan, of the upper trigeminal nerve with excellent results.
仅累及三叉神经上支的三叉神经痛很少见。SUNCT综合征（短暂性、单侧、伴有结膜充血和流泪的神经痛样偏头痛）中眶周疼痛持续60 - 120秒，并伴有结膜充血和流泪的情况更为罕见。与三叉神经痛不同，SUNCT通常不能通过药物缓解。3例SUNCT患者接受了半月节后甘油神经根切断术治疗，其中2例接受了两次治疗。所有5次治疗均实现了完全疼痛缓解，效果持续时间为2年至4年以上。这3例患者中的1例还根据穆兰的方法，用Fogarthy球囊对三叉神经上支的节后纤维进行了第三次压迫治疗，效果极佳。
