Philipps Joerg, Bytyqi Adonis, Salihaj Blerta, Schellinger Peter Dieter
Johannes- Wesling- Klinikum Minden, Dept. of Neurology, Ruhr-University Bochum, Hans-Nolte Str. 1, 32429 Minden, DE, Germany.
Johannes- Wesling- Klinikum Minden, Dept. of Neurology, Ruhr-University Bochum, Hans-Nolte Str. 1, 32429 Minden, DE, Germany.
Clin Neurol Neurosurg. 2018 Mar;166:107-109. doi: 10.1016/j.clineuro.2018.01.033. Epub 2018 Jan 31.
SUNCT like syndrome has been observed as a post zoster condition, as a syndrome associated with overt ophthalmic zoster after appearance of herpetic lesions and in varicella zoster virus meningoencephalitis without rash. However, SUNCT like syndrome fully consistent and congruent with the criteria of the ICHD immediately before onset of an ophthalmic-distribution zoster has not been reported.
We report 73-year-old patient with a SUNCT like syndrome as the first presentation of an acute ophthalmic-distribution zoster. Symptomatic treatment was highly effective, after antiviral treatment with acyclovir no further medication was required.
SUNCT like syndrome can be the initial clinical presentation immediately preceding an acute ophthalmic-distribution zoster. This is congruent with previous observations of zoster - related SUNCT like syndromes with different temporal relationship to zoster. Zoster - related SUNCT like syndromes seem to respond well to symptomatic treatment. Clinicians should ask and look for history and signs of ophthalmic zoster in SUNCT like headaches.
类SUNCT综合征曾被观察到作为带状疱疹后的一种情况，作为疱疹性皮损出现后与明显的眼部带状疱疹相关的一种综合征，以及在无皮疹的水痘 - 带状疱疹病毒脑膜脑炎中出现。然而，在眼部带状疱疹发作前立即完全符合国际头痛疾病分类（ICHD）标准的类SUNCT综合征尚未见报道。
我们报告一名73岁患者，以类SUNCT综合征作为急性眼部带状疱疹的首发表现。对症治疗非常有效，在用阿昔洛韦进行抗病毒治疗后无需进一步用药。
类SUNCT综合征可以是急性眼部带状疱疹发作前的初始临床表现。这与之前观察到的与带状疱疹有不同时间关系的带状疱疹相关类SUNCT综合征一致。带状疱疹相关类SUNCT综合征似乎对症治疗反应良好。临床医生在类SUNCT样头痛患者中应询问并查找眼部带状疱疹的病史和体征。
