寰枢关节半脱位导致的非典型短暂单侧神经痛样头痛伴结膜充血和流泪综合征，采用枕大神经阻滞治疗。
Whiplash injury-induced atypical short-lasting unilateral neuralgiform headache with conjunctival injection and tearing syndrome treated by greater occipital nerve block.
机构信息
Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea.
出版信息
Clin J Pain. 2012 May;28(4):342-3. doi: 10.1097/AJP.0b013e318234ec39.
BACKGROUND
Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) syndrome is a rare type of trigeminal autonomic cephalalgia. SUNCT syndrome is typically idiopathic, and secondary SUNCT syndrome after indirect injury is very rare. We report a case of SUNCT syndrome manifested dramatically after a whiplash injury and treated by greater occipital nerve (GON) block.
CASE
A 62-year-old woman presented with headache associated with ipsilateral orbitofacial pain, lacrimination, and conjunctival injection after a car accident. Imaging study revealed no acute lesions. The symptoms were triggered and worsened by touch on the ipsilateral scalp and posterior neck region, and also by talking, swallowing, or chewing. We performed GON blocks for headache 3 times. The patient experienced pain relief after a GON block.
CONCLUSIONS
Secondary SUNCT syndrome induced by whiplash injury is rare. Our case showed good outcome of SUNCT syndrome treated by GON.
背景
短暂单侧神经性头痛伴结膜充血和流泪（SUNCT）综合征是一种罕见的三叉神经自主神经性头痛。SUNCT 综合征通常为特发性，而间接损伤后的继发性 SUNCT 综合征非常罕见。我们报告了一例因挥鞭样损伤后表现明显的 SUNCT 综合征，并经枕大神经（GON）阻滞治疗的病例。
病例
一名 62 岁女性因车祸后出现头痛，伴有同侧眶周疼痛、流泪和结膜充血。影像学检查未发现急性病变。同侧头皮和后颈部触诊、说话、吞咽或咀嚼均可诱发和加重症状。我们对头痛进行了 3 次 GON 阻滞。GON 阻滞后患者疼痛缓解。
结论
挥鞭样损伤引起的继发性 SUNCT 综合征罕见。我们的病例显示 GON 治疗 SUNCT 综合征的效果良好。
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