II. Classification
- Short duration
- Trigeminal Autonomic Cephalgia
- Headaches similar to Cluster Headache
- Unilateral trigeminal distribution symptoms with autonomic features
III. Symptoms
- Region
- Unilateral orbital, supraorbital or temporal Headache
- Characteristics
- Stabbing or pulsating pain
- Timing
- Duration <4 minutes per episode
- Recurrs for 3-200 attacks/day
- Associated Symptoms (autonomic findings)
- Ipsilateral Conjunctival injection
- Ipsilateral Lacrimation
IV. Diagnosis
- Characteristics: At least 20 or more Headaches meeting the following criteria
- Severe to very severe unilateral orbital, supraorbital or temporal pain lasting seconds to 10 minutes
- Occurs as single stab or multiple stabs
- Headaches at least once daily
- At least 2 Headaches last 7 days to 1 year (when untreated)
- Headache with at least one of the following ipsilateral autonomic symptoms
- Conjunctival injection or Lacrimation
- Nasal congestion or Rhinorrhea
- Eyelid Edema
- Forehead and facial sweating
- Miosis or Ptosis
- Severe to very severe unilateral orbital, supraorbital or temporal pain lasting seconds to 10 minutes
- Timing
- Episodic
- Headaches with pain-free periods >3 month
- Chronic
- Episodes recur for more than 1 year without remission or with remission <3 month
- Episodic
- References
V. Differential Diagnosis
- See Cluster Headache
VI. Management
- No established definitive management
- See Cluster Headache for potential management options
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| Definition (NCI) | A rare disorder characterized by episodes of short-lasting pain in one eye or one side of the head. The pain attacks are associated with watery eyes, swelling of the eyelids, sweaty forehead, and nasal congestion. |
| Definition (MSH) | A primary headache disorder that is characterized by frequent short-lasting, unilateral, neuralgiform pain attacks in the ocular area, with CONJUNCTIVA fluid-filling and tearing. SUNCT syndrome is usually resistant to treatment. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D050798 |
| Japanese | ＳＵＮＣＴ症候群, SUNCTｼｮｳｺｳｸﾞﾝ |
| Swedish | SUNCT-syndrom |
| Czech | syndrom SUNCT, SUNCT syndrom |
| Finnish | SUNCT-oireyhtymä |
| Russian | SUNCT SINDROM, SUNCT СИНДРОМ |
| English | SUNCT Syndrome [Disease/Finding], SUNCT syndrome, SUNCT Syndromes, SUNCT Syndrome, Syndrome, SUNCT, Syndromes, SUNCT |
| Polish | Ból głowy SUNCT, Zespół SUNCT |
| Hungarian | SUNCT syndroma |
| Norwegian | SUNCT-syndrom |
| Spanish | Cefalea Unilateral Neuralgiforme de Breve Duración con Reacción Conjuntival y Lagrimeo, Cefalea neuralgiforme de corta duración con inyección conjuntival y lagrimeo, Síndrome SUNCT |
| Portuguese | Cefaleia de Curta Duração, Unilateral, Neuralgiforme com Hiperemia Conjuntival e Lacrimejamento, Síndroma de SUNCT, Síndrome SUNCT |
| Dutch | SUNCT syndroom |
| French | Syncrome de SUNCT, Céphalée névralgique unilatérale brève avec injection conjonctivale, Syndrome SUNCT |
| German | SUNCT-Syndrom |
| Italian | Cefalea nevralgiforme unilaterale di breve durata con arrossamento oculare e lacrimazione, Sindrome SUNCT |
