Service de neurochirurgie, Centre Hospitalier Universitaire de Sherbrooke, 3001 12th avenue Nord, Sherbrooke, QC, Canada.
Cephalalgia. 2011 May;31(7):870-3. doi: 10.1177/0333102411404716. Epub 2011 Apr 8.
The SUNCT syndrome (short-unilateral neuralgiform headache with conjunctival injection and tearing) can be very disabling for affected patients and is often refractory to medical management. We report the first case of SUNCT with a successful response to stereotactic radiosurgery without any adverse effect.
After failing optimal medical treatment, a 82-year old male patient suffering from SUNCT syndrome was treated with Gamma knife radiosurgery. The trigeminal nerve and sphenopalatine ganglion were targeted with a maximum dose of 80 Gy each. The patient had complete pain cessation 2 weeks after the treatment, and remains pain-free with no medication at the latest follow-up 39 months after radiosurgery. He did not have any side effect from the procedure.
Gamma knife radiosurgery is an option for medically refractory SUNCT patients.
短暂单侧神经痛样头痛伴结膜充血和流泪（SUNCT）综合征可使受影响的患者非常痛苦，且常对药物治疗产生抵抗。我们报告首例 SUNCT 病例，患者接受立体定向放射外科手术治疗后取得了成功的反应，且无任何不良反应。
在接受最佳药物治疗后失败后，一名 82 岁男性患者因 SUNCT 综合征接受了伽玛刀放射外科手术治疗。三叉神经和蝶腭神经节的最大剂量各为 80Gy。治疗后 2 周，患者疼痛完全停止，在放射外科手术后 39 个月的最新随访中，患者无需药物治疗且无疼痛。他没有任何手术相关的副作用。
对于药物难治性 SUNCT 患者，伽玛刀放射外科手术是一种选择。
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