Pareja J A, Pareja J, Palomo T, Caballero V, Pamo M
Hospital del INSALUD de Llerena, Badajoz, Spain.
Headache. 1994 Feb;34(2):114-6. doi: 10.1111/j.1526-4610.1994.hed3402114.x.
A 79-year-old patient had been suffering from right orbital pain attacks since he was 77. The pain, of an "electrical" or burning character, was moderate to severe in intensity. Single attacks lasted for 30-60 seconds each and were accompanied by prominent ipsilateral conjunctival injection and tearing as well as slight rhinorrhoea. The temporal pattern of attacks was irregular with spontaneous remissions alternating with unpredictable symptomatic phases. During active periods, attacks could be triggered by several precipitants acting on trigeminal and extra-trigeminal innervated areas. On most occasions, the patient had 2-3 attacks daily but, at worst, he might have almost continuous short-lasting attacks in periods of 1 to 3 hours length. When attacks had such frequency they presented either as repetitive or overlapping single episodes. According to the clinical features it is concluded that the case reported is a new case of SUNCT syndrome.
一名79岁患者自77岁起就一直遭受右眼眶疼痛发作。疼痛呈“电击样”或灼痛性质，强度为中度至重度。单次发作每次持续30 - 60秒，伴有同侧明显的结膜充血、流泪以及轻微流涕。发作的时间模式不规则，自发缓解期与不可预测的症状期交替出现。在活跃期，作用于三叉神经和三叉神经外支配区域的多种诱发因素可引发发作。大多数情况下，患者每天发作2 - 3次，但在最严重时，他可能在1至3小时内几乎持续出现短暂发作。当发作频率如此之高时，表现为重复性或重叠性单次发作。根据临床特征，得出结论：所报告的病例是SUNCT综合征的一个新病例。
