A SUNCT‐like headache associated with lateral pontine infarction – case series and systematic review

Author:

Jansem Priabprat1ORCID,Watanapa Nattapat1,Thanprasertsuk Sekh234ORCID,Rattanawong Wanakorn25ORCID,Pongpitakmetha Thanakit2467ORCID,Anukoolwittaya Prakit246ORCID

Affiliation:

1. Department of Medicine, Faculty of Medicine Chulalongkorn University Bangkok Thailand

2. Chulalongkorn Headache and Orofacial Pain (CHOP) Service and Research Group Chulalongkorn University Bangkok Thailand

3. Department of Physiology, Faculty of Medicine Chulalongkorn University Bangkok Thailand

4. Chula Neuroscience Center King Chulalongkorn Memorial Hospital Bangkok Thailand

5. Department of Medicine, Faculty of Medicine King Mongkut's Institute of Technology Ladkrabang Bangkok Thailand

6. Division of Neurology, Department of Medicine, Faculty of Medicine Chulalongkorn University Bangkok Thailand

7. Department of Pharmacology, Faculty of Medicine Chulalongkorn University Bangkok Thailand

Abstract

AbstractBackground and AimShort‐lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA‐like headaches and lateral pontine infarctions.MethodsCase series and systematic review.ResultsWe present three cases diagnosed with SUNCT following lateral pontine infarction on magnetic resonance imaging (MRI), along with a review of these cases and 10 others from the literature.Discussion and ConclusionThis review suggests a connection between SUNCT/SUNA‐like symptoms and lateral pontine infarctions. The section also delves into the anatomy and pathophysiology of these symptoms, proposing a mechanism involving neural pathway remodelling in the lateral brainstem.

Publisher

Wiley

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