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Responsiveness of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing to hypothalamic deep brain stimulation.

Abstract
Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) is a severe primary headache disorder that is often refractory to medical therapy. Although the pathogenesis of this and other trigeminal autonomic cephalalgias is not completely understood, ipsilateral activation of the posterior and inferior hypothalamus has been identified on functional imaging studies during attacks. The authors report on a case of SUNCT syndrome successfully treated with hypothalamic deep brain stimulation and discuss the current literature.
AuthorsMark K Lyons, David W Dodick, Virgilio Gerald H Evidente
JournalJournal of neurosurgery (J Neurosurg) Vol. 110 Issue 2 Pg. 279-81 (Feb 2009) ISSN: 0022-3085 [Print] United States
PMID18821829 (Publication Type: Case Reports, Journal Article)
Topics
  • Brain Mapping
  • Conjunctiva (innervation)
  • Deep Brain Stimulation (methods)
  • Dominance, Cerebral (physiology)
  • Electrodes, Implanted
  • Headache (physiopathology, therapy)
  • Humans
  • Hypothalamus (physiopathology)
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Tears (physiology)
  • Treatment Outcome
  • Trigeminal Neuralgia (physiopathology, therapy)

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