We studied six patients with SUNCT, a unilateral headache syndrome with shortlasting attacks and ipsilateral autonomic phenomena with orbital phlebography and MRI. All but one orbital phlebogram showed abnormalities on the headache side (in one patient bilaterally), involving the superior ophthalmic vein or/and the cavernous sinus. No systematic changes were demonstrated on MRI. The phlebography findings were similar to those observed in the Tolosa-Hunt syndrome and in cluster headache.
SjaastadORussellDHørvenIBunæsU. Multiple, neuralgiform, unilateral headache attacks associated with conjunctival injection and appearing in clusters. A nosological problem. Proceedings of the Scandinavian Migraine Society1978;31
2.
SjaastadOSaunteCSalvesenRFredriksenTASeimARøeODFostadKLøbbenO-PZhaoJ-M. Shortlasting, unilateral, neuralgiform headache attacks with conjunctival injection, tearing, sweating, and rhinorrhea. Cephalalgia1989;9:147–56
3.
SjaastadOZhaoJ-MKruszewskiPStovnerLJ. Shortlasting unilateral neuralgiform headache attacks with conjunctival injection, tearing, etc. (SUNCT): III. Another Norwegian case. Headache1991;31:175–7
4.
SjaastadOKruszewskiP. Trigeminal neuralgia and SUNCT syndrome: similarities and differences in the clinical pictures. An overview. Funct Neurol1992;7:103–7
5.
MuhletalerCAGerlockAJ. Orbital venography in painful ophthalmoplegia (Tolosa-Hunt syndrome). Am J Roentgenol1979;133:31–4
6.
HannerzJEricsonKBergstrandG. Orbital phlebography in patients with Tolosa-Hunt syndrome in comparison with normal subjects. Acta Radiol (Diagn)1984;25:457–63
HannerzJEricsonKBergstrandG. Orbital phlebography in patients with cluster headache. Cephalalgia1987;7:207–11
9.
HannerzJ. Orbital phlebography and signs of inflammation in episodic and chronic cluster headache. Headache1991;31:540–2
10.
HannerzJEricsonKBergstrandG. A new aetiology for visual impairment and chronic headache. The Tolosa—Hunt syndrome may be only one manifestation of venous vasculitis. Cephalalgia1986;6:59–63
11.
HannerzJEricsonKBergstrandGBerggrenBMEdmanG. Computed tomography of the brain in cases with venous vasculitis compared with an age-matched reference group. Acta Radiol1988;29:65–8
12.
BussoneGLeoneMDalla VoltaGStradaLGasparottiRDi MondaV. Shortlasting unilateral neuralgiform headache attacks with tearing and conjunctival injection: the first “symptomatic” case?Cephalalgia1991;11:123–7