title: Bilateral SUNCT syndrome associated to chronic maxillary sinus disease.
abstract: SUNCT syndrome (short lasting unilateral neuralgiform headache with conjunctival injection and tearing) is defined as short attacks of periorbital unilateral pain and accompanied by ipsilateral lacrimation and redness of the same eye. We present an unusual SUNCT case with bilateral pain that started five years ago after an acute maxillary sinus infection that evolved to chronic sinusitis. This association has been described in few SUNCT cases, but its causal role remains uncertain. The patient was a 58 year old man that fulfilled a headache diary that showed the usual circadian pattern, worsening in the morning and afternoon, and responded to treatment with gabapentine. He was submitted to a functional endoscopic sinus surgery and evolved with milder pain. In a review of 21 patients, 5 had a past medical history of sinusitis, but the causal role of this association remained uncertain.
authors.affiliation: Department of Neurology and Neurosurgery, Escola Paulista de Medicina, Federal University of São Paulo, Rua Luiz Dib Zogaib 80, 05613-020 São Paulo SP, Brazil. denisbichuetti@globo.com
authors.forename: Denis Bernardi
authors.initials: DB
authors.lastname: Bichuetti
authors.forename: Wellington Yugo
authors.initials: WY
authors.lastname: Yamaoka
authors.forename: João Ricardo Parrela
authors.initials: JR
authors.lastname: Bastos
authors.forename: Deusvenir de Souza
authors.initials: Dde S
authors.lastname: Carvalho
mesh_terms: D000588:Amines / Q000627:therapeutic use*; D000700:Analgesics / Q000627:therapeutic use*; D002908:Chronic Disease; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use*; D000077206:Gabapentin; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications* / Q000601:surgery; D008875:Middle Aged; D050798:SUNCT Syndrome / Q000188:drug therapy / Q000209:etiology*; D005680:gamma-Aminobutyric Acid / Q000627:therapeutic use*
chemical_list: D000588:Amines; D000700:Analgesics; D003509:Cyclohexanecarboxylic Acids; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin