Hannerz J, Greitz D, Hansson P, Ericson K
Neurologic Department, Karolinska Hospital, Stockholm, Sweden.
Headache. 1992 Sep;32(8):384-9. doi: 10.1111/j.1526-4610.1992.hed3208384.x.
A patient with more than 20 years of SUNCT, i.e., long lasting periods with frequent attacks of intense orbital pain with a duration of about one minute, associated with ipsilateral conjunctival injection, lacrimation, rhinorrhea and facial sweating is described. Some attacks were possibly related to increased cerebral blood flow but could also be triggered from the oral area. Orbital phlebography showed pathologic changes on the side of the pain, changes which were normalized when these attacks ceased to appear. Due to these findings in conjunction with serum evidence of inflammation, associated systemic symptoms and susceptibility to steroids and azathioprine, venous vasculitis is suggested to be the cause of SUNCT in this patient. Carbamazepine and sumatriptan decreased the frequency, intensity and duration of attacks, although not completely.
描述了一名患有 SUNCT 超过 20 年的患者，即长期频繁发作剧烈眼眶疼痛，持续约一分钟，伴有同侧结膜充血、流泪、流涕和面部出汗。一些发作可能与脑血流量增加有关，但也可能由口腔区域引发。眼眶静脉造影显示疼痛侧有病理改变，当这些发作停止出现时，这些改变恢复正常。结合炎症的血清证据、相关的全身症状以及对类固醇和硫唑嘌呤的敏感性这些发现，提示静脉血管炎是该患者 SUNCT 的病因。卡马西平和舒马曲坦虽未完全消除发作，但降低了发作的频率、强度和持续时间。
