Black, white and shades of grey: SUNCT or short-lasting chronic paroxysmal hemicrania?
OBJECTIVE
To report a case of unilateral headache with two possibilities of diagnosis.


METHODS
Case report.


RESULTS
Patient with unilateral, intense, stabbing periocular headache with conjuntival injection and tearing. Although the duration of attacks was typical of SUNCT, there was complete remission of the pain with indomethacin, suggesting that this was a case of chronic paroxysmal hemicrania with unusually short attack duration.


CONCLUSIONS
Therapeutic trials of indomethacin on younger patients presenting clinical diagnosis of SUNCT could be tried on a more regular basis.
Fragoso
Yára Dadalti
YD
Department of Neurology, Medical Faculty, UNIMES, Santos, SP, Brazil. yara@bsnet.com.br
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008875:Middle Aged; D051302:Paroxysmal Hemicrania / Q000175:diagnosis* / Q000188:drug therapy; D050798:SUNCT Syndrome / Q000175:diagnosis*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin