SUNCT MAY BE ANOTHER MANIFESTATION OF ORBITAL VENOUS VASCULITIS

被引:47
作者
HANNERZ, J [1 ]
GREITZ, D [1 ]
HANSSON, P [1 ]
ERICSON, K [1 ]
机构
[1] KAROLINSKA HOSP,DEPT NEURORADIOL,S-10401 STOCKHOLM 60,SWEDEN
来源
HEADACHE | 1992年 / 32卷 / 08期
关键词
SUNCT; VENOUS VASCULITIS; ORBITAL PHLEBOGRAPHY;
D O I
10.1111/j.1526-4610.1992.hed3208384.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A patient with more than 20 years of SUNCT,i.e.,long lasting periods with frequent attacks of intense orbital pain with a duration of about one minute, associated with ipsilateral conjunctival injection, lacrimation, rhinorrhea and facial sweating is described. Some attacks were possibly related to increased cerebral blood flow but could also be triggered from the oral area. Orbital phlebography showed pathologic changes on the side of the pain, changes which were normalized when the attacks ceased to appear. Due to these findings in conjunction with serum evidence of inflammation, associated systemic symptoms and susceptibility to steroids and azathioprine, venous vasculitis is suggested to be the cause of SUNCT in this patient. Carbamazepine and sumatriptan decreased the frequency, intensity and duration of attacks, although not completely.
引用
收藏
页码:384 / 389
页数:6
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