Muñoz-Cerón J F, Ricaurte-Fajardo A, Serna-Corredor L A, Pizarro A B
Hospital Universitario Mayor Méderi, Bogotá, Colombia.
New York Presbyterian Hospital, New York, EE.UU.
Rev Neurol. 2022 Aug 1;75(3):67-69. doi: 10.33588/rn.7503.2021410.
Headache is one of the most frequent reasons for medical consultation. The SUNCT type is classified as a primary trigeminal-autonomic headache and should be considered in cases of short-lasting, hemifacial pain associated with autonomic dysfunction. Additionally, in the approach to this disease, secondary causes that facilitate its onset must be ruled out.
We describe a case of a new-onset SUNCT-type headache in which involvement of the first branch of the trigeminal nerve due to herpes zoster virus infection was documented six days after the onset of pain.
Trigeminal autonomic headaches are usually primary; yet, multiple conditions have been described that are associated with SUNCT-type headaches and have a secondary etiology. Among these, herpes zoster virus infection should be considered at the onset of episodes consistent with SUNCT-type headache unresponsive to medical treatment.
头痛是最常见的就医原因之一。SUNCT型被归类为原发性三叉神经自主性头痛，对于伴有自主神经功能障碍的短暂性半侧面部疼痛病例应予以考虑。此外，在诊治这种疾病时，必须排除促发其发作的继发性病因。
我们描述了一例新发的SUNCT型头痛病例，在疼痛发作六天后记录到由带状疱疹病毒感染导致三叉神经第一支受累。
三叉神经自主性头痛通常为原发性；然而，已有多种与SUNCT型头痛相关且具有继发性病因的情况被描述。其中，在出现符合SUNCT型头痛且对药物治疗无反应的发作时，应考虑带状疱疹病毒感染。
