Abstract

The SUNCT refers to short-lasting unilateral neuralgiform headache with conjunctival injection and tearing. It is characterized by brief attacks of severe unilateral pain in the orbitotemporal region, associated w ith ipsilateral cranial autonomic disturbances. The syndrome is often m isdiagnosed as trigeminal neuralgia or cluster headache. A 60-year-old man had a right herpes zoster ophthalmicus. Four days later, he had first attack of pain deep in and around the right eye and temple w ith lacrimation. The pain w as sharp and throbbing, very intense and localized to the right orbital region. Reddening and w atering of the right eye consistently accompanied the pain. The headaches occurred sporadically throughout whole day, w ith an average of 20?30 individual paroxysms during 5-30 seconds. Attacks did not occur during sleep. Neurological and ophthalm ologic examinations were unremarkable. Except verapamil, therapeutic trials of gabapentin, oxycodone, indomethacin