Short-Lasting Unilateral Neuralgiform Headache Attacks with Tearing and Conjunctival Injection: The First “Symptomatic” Case?

A 36-year-old man was suffering from brief, unilateral and short-lasting pain attacks always associated with marked homolateral tearing and conjunctival injection, both presenting in a cluster fashion. An arteriovenous malformation was subsequently discovered in the homolateral cerebellopontine angl...

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Bibliographic Details
Published in:Cephalalgia 1991-07, Vol.11 (3), p.123-127
Main Authors: Bussone, Gennaro, Leone, Massimo, Volta, Giorgio Dalla, Strada, Liliana, Gasparotti, Roberto, Monda, Vincenzo Di
Format: Article
Language:English
Subjects:
Adult
A‐V Malformation
Biological and medical sciences
Cluster Headache - complications
Cluster Headache - diagnosis
cluster syndrome
Conjunctival Diseases - complications
Functional Laterality
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
homolateral autonomic signs
Humans
Intracranial Arteriovenous Malformations - complications
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neuralgia - complications
Neuralgia - diagnosis
Neurology
short‐lasting headaches
Sweat - secretion
Syndrome
Tears - secretion
Time Factors
trigeminal neuralgia
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Summary:A 36-year-old man was suffering from brief, unilateral and short-lasting pain attacks always associated with marked homolateral tearing and conjunctival injection, both presenting in a cluster fashion. An arteriovenous malformation was subsequently discovered in the homolateral cerebellopontine angle. The clinical picture shares similarities with both cluster headache and trigeminal neuralgia, although it can not be accurately placed with either of these forms. Patients with similar symptoms have previously been described in detail, and on the basis of these few descriptions a new syndrome “short-lasting” unilateral neuralgiform headache attacks with conjunctival injection, tearing, sweating, and rhinorrhoea has been postulated. Assuming the validity of this syndrome as an entity, this case is in all probability its first “symptomatic” example. Careful evaluation of the varieties of cluster headache and trigeminal neuralgia, and the reporting of similar new cases as they arise are necessary to establish the nosologic boundaries of this syndrome.
ISSN:0333-1024
1468-2982
DOI:10.1046/j.1468-2982.1991.1103123.x