1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-19-80-a 10.15844/pedneurbriefs-19-10-10 Headache Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant SUNCT Syndrome in a Child http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 10 2005 01 03 2016 19 10 80 80 Copyright: © 2005 The Author(s) 2005 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Pediatric SUNCT Syndrome

Short-duration unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) is reported in a 5-year-old boy treated at Children Hospital Queen Fabiola, Brussels, Belgium.

 Short-Duration Unilateral Neuralgiform Headache with Conjunctival Injection and Tearing Ipsilateral Pontocerebellar Angle Trigeminal Autonomic Cephalgia

Short-duration unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) is reported in a 5-year-old boy treated at Children Hospital Queen Fabiola, Brussels, Belgium. Episodes occurred 4 to 6 times over an hour every 2 to 3 days, they lasted a few seconds, without precipitating factor, never disturbing sleep, and were associated with nasal congestion. Neurologic exam including visual fields, fundi and MRI were normal. Frequency of attacks began to decrease after 3 months, without treatment, and headaches stopped spontaneously at 5 months after onset, with no recurrence at 1-year follow-up. [1]

COMMENT. Usually restricted to adults, this is the third case of SUNCT in a child, 2 previous cases in children aged 10 and 11 years, one idiopathic and the other secondary to astrocytoma in the ipsilateral pontocerebellar angle. In the idiopathic case, multiple trials of NSAIDs were unsuccessful. SUNCT is classified in the ICHD as a trigeminal autonomic cephalgia, along with cluster headache and paroxysmal hemicrania headache.

Sékhara T Pelc K Mewasingh LD Boucquey D Dan B Pediatric SUNCT Syndrome Pediatr Neurol 2005 Sep 33 3 206 207 10.1016/j.pediatrneurol.2005.03.017 16139736