Deep brain stimulation of the posterior hypothalamic area in intractable short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT).

Bartsch, T., Falk, D., Knudsen, K., Reese, R., Raethjen, J., Mehdorn, H. M., Volkmann, J. and Deuschl, G. (2011) Deep brain stimulation of the posterior hypothalamic area in intractable short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT). Cephalalgia, 31 (13). pp. 1405-1408. DOI 10.1177/0333102411409070.

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Supplementary data:

Abstract

Background: SUNCT (short-lasting unilateral neuralgiform headache with conjunctival injection and tearing) is a rare syndrome characterized by the sudden onset of excruciating unilateral periorbital pain that is accompanied by conjunctival injection and lacrimation or further autonomic signs. Similar to patients with chronic cluster headache, Leone and Lyons showed a beneficial effect of deep brain stimulation of the posterior hypothalamic region in two patients with a chronic SUNCT. Case: Here, we present the case of a man with a chronic SUNCT responding to deep brain stimulation of the posterior hypothalamic area. Conclusion: This case supports the idea of a central origin of SUNCT and shows that deep brain stimulation of the hypothalamic region can be effective in the treatment of the chronic form of this rare disorder.

Document Type: Article
Keywords: SUNCT hypothalamus deep brain stimulation pain modulation chronic cluster headache neurostimulation patient
Refereed: Yes
DOI etc.: 10.1177/0333102411409070
ISSN: 0333-1024
Date Deposited: 01 Nov 2012 05:06
Last Modified: 01 Nov 2012 05:06
URI: http://oceanrep.geomar.de/id/eprint/16731

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