深部脑刺激术用于缓解药物难治性SUNCT（短潜伏期丛集性头痛）。

Deep brain stimulation to relieve drug-resistant SUNCT.

作者信息

Leone Massimo, Franzini Angelo, D'Andrea Giovanni, Broggi Giovanni, Casucci Gerardo, Bussone Gennaro

机构信息

Department of Neurology and Headache Centre, Milano, Italy.

出版信息

Ann Neurol. 2005 Jun;57(6):924-7. doi: 10.1002/ana.20507.

DOI:10.1002/ana.20507

PMID:15929061

Abstract

The rare primary headache short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is characterized by 3 to 200 attacks per day of severe unilateral orbital pain. Functional magnetic resonance imaging shows increased blood flow in the ipsilateral posterior inferior hypothalamus during attacks, indicating activation. We report the first patient with SUNCT in whom severe intractable pain (70 per day) was well controlled by electrode implant to and continuous stimulation of the posterior inferior hypothalamus. Ann Neurol 2005;57:925-927.

摘要

罕见的原发性头痛——伴有结膜充血和流泪的短暂性单侧神经痛样头痛发作（SUNCT），其特征为每天发作3至200次严重的单侧眼眶疼痛。功能磁共振成像显示发作期间同侧下丘脑后下部血流增加，提示激活。我们报告了首例SUNCT患者，通过植入电极并持续刺激下丘脑后下部，其严重的顽固性疼痛（每天70次发作）得到了很好的控制。《神经病学纪事》2005年；57:925 - 927。