A Case of SUNCT Successfully Treated with Microvascular Decompression

Abstract

The case was a 39-year-old male who was aware of a headache centered in the left eye socket and extending to the forehead. Autonomic symptoms of tears and congestion of the conjunctiva were also observed. This case was diagnosed as short-lasting unilateral neuroralgiform headache attack with conjunctival injection and tearing（SUNCT）due to the presence of pain and autonomic symptoms. At the beginning of treatment, drug therapy with lamotrigine provided good analgesic control. In this case, because the artery adjacent to the trigeminal nerve could be confirmed, it was determined that there was an indication for surgery, and surgery was eventually performed. As a result, the symptoms were completely cured and the treatment results were good. SUNCT is a refractory disease and is primarily treated with medication. However, if the cause of the onset of the disease is confirmed and an accurate diagnosis is made, there may be a possibility of surgical indication.