title: SUNCT syndrome successfully treated by gamma knife radiosurgery: case report.
abstract: BACKGROUND
  The SUNCT syndrome (short-unilateral neuralgiform headache with conjunctival injection and tearing) can be very disabling for affected patients and is often refractory to medical management. We report the first case of SUNCT with a successful response to stereotactic radiosurgery without any adverse effect.
  
  
  METHODS
  After failing optimal medical treatment, a 82-year old male patient suffering from SUNCT syndrome was treated with Gamma knife radiosurgery. The trigeminal nerve and sphenopalatine ganglion were targeted with a maximum dose of 80 Gy each. The patient had complete pain cessation 2 weeks after the treatment, and remains pain-free with no medication at the latest follow-up 39 months after radiosurgery. He did not have any side effect from the procedure.
  
  
  CONCLUSIONS
  Gamma knife radiosurgery is an option for medically refractory SUNCT patients.
authors.affiliation: Service de neurochirurgie, Centre Hospitalier Universitaire de Sherbrooke, 3001 12th avenue Nord, Sherbrooke, QC, Canada.
authors.forename: Khaled
authors.initials: K
authors.lastname: Effendi
authors.forename: Samir
authors.initials: S
authors.lastname: Jarjoura
authors.forename: David
authors.initials: D
authors.lastname: Mathieu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D016634:Radiosurgery; D050798:SUNCT Syndrome / Q000503:physiopathology / Q000601:surgery*