Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms in NMOSD
نویسندگان
چکیده
Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune demyelinating disorder of the CNS that frequently affects brainstem functions. Trigeminal neuralgia occurs in 2.5% of patients with NMOSD; however, the occurrence of trigeminal autonomic cephalalgia (TAC) is rarely reported. Here, we describe a case of NMOSD with anti–aquaporin-4 (AQP4) antibodies who had a relapse with brainstem and cervical spinal cord lesions manifesting as short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA), a rare form of TAC.
منابع مشابه
Trigeminal autonomic cephalalgias: paroxysmal hemicrania, SUNCT/SUNA, and hemicrania continua.
The trigeminal autonomic cephalalgias (TACs) are a group of primary headache disorders that include cluster headache (CH), paroxysmal hemicrania (PH), and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing/cranial autonomic features (SUNCT/SUNA). Hemicrania continua (HC) is often included with this group, although the second edition of The Internation...
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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) are rare headache syndromes which make up the trigeminal autonomic cephalalgias (TACs), along with cluster headache and paroxysmal hemicrania. All of the TACs are characterized by attacks of sever...
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Cluster headache (CH) is one of the trigeminal autonomic cephalalgias (TACs), which are primary headache disorders characterised by unilateral head pain occurring in association with prominent ipsilateral cranial autonomic features, such as lacrimation, conjunctival injection or nasal symptoms.1,2 TACs include paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks...
متن کاملTrigeminal autonomic cephalalgias.
PURPOSE OF REVIEW This article covers the clinical manifestations and differential diagnosis of the trigeminal autonomic cephalalgias (TACs). RECENT FINDINGS TACs comprise a subgroup of primary headache disorders presenting with lateralized, often severe, pain accompanied by cranial autonomic features. The key syndromes are cluster headache, paroxysmal hemicrania, short-lasting unilateral neu...
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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic features (SUNA) are described, although SUNA is rarely reported. The phenotype of SUNCT and SUNA was characterized from a large series of patients (43 SUNCT, 9 SUNA). Three attack types were identified: stabs, gr...
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