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三叉神经痛与“短时限单侧神经痛样头痛发作伴结膜充血及流泪综合征”(SUNCT):临床表现的异同。综述

Trigeminal neuralgia and "SUNCT" syndrome: similarities and differences in the clinical pictures. An overview.

作者信息

Sjaastad O, Kruszewski P

机构信息

Department of Neurology, Trondheim University Hospital, Norway.

出版信息

Funct Neurol. 1992 Mar-Apr;7(2):103-7.

PMID:1607124
Abstract

SUNCT is a recently described unilateral headache with frequently occurring, shortlasting pain attacks in the ocular area accompanied by ipsilateral conjunctival injection, lacrimation, and (subclinical) forehead sweating. In some patients, attacks may be triggered by cutaneous stimuli. In this communication, SUNCT patients (n = 5) are compared with the considerable clinical series of trigeminal neuralgia in the literature (e.g. Harris, 1940, 1433 cases). In several respects (unilaterality, triggering, brevity and frequency of paroxysms), SUNCT shows similarity to trigeminal neuralgia. SUNCT seems to differ clearly from trigeminal neuralgia in other respects: sex distribution (SUNCT patients are often males), pain localization (SUNCT patients have the pain in the ocular area), the carbamazepine effect, presence of conjunctival injection, lacrimation, etc. SUNCT may accordingly altogether seem to be distinct from trigeminal neuralgia.

摘要

SUNCT是一种最近才被描述的单侧头痛,眼部区域频繁出现短暂的疼痛发作,并伴有同侧结膜充血、流泪和(亚临床)前额出汗。在一些患者中,发作可能由皮肤刺激引发。在本交流中,将SUNCT患者(n = 5)与文献中大量的三叉神经痛临床病例系列(如Harris,1940年,1433例)进行了比较。在几个方面(单侧性、触发因素、发作的短暂性和频率),SUNCT与三叉神经痛相似。SUNCT在其他方面似乎与三叉神经痛有明显不同:性别分布(SUNCT患者多为男性)、疼痛部位(SUNCT患者疼痛位于眼部区域)、卡马西平的疗效、结膜充血、流泪等的存在情况。因此,SUNCT总体上似乎与三叉神经痛不同。

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