scholarly journals SUNCT syndrome associated with pituitary tumor: case report

2006 ◽  
Vol 64 (2b) ◽  
pp. 507-510 ◽  
Author(s):  
Pedro A.S. Rocha Filho ◽  
Antonio Cezar R. Galvão ◽  
Manoel J. Teixeira ◽  
Getulio D. Rabello ◽  
Ida Fortini ◽  
...  

For twelve years, the subject of this report, a 38-year-old man, presented a clinical condition compatible with the SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) syndrome. He presented a stabbing and intense daily pain located in the left pre-auricular and temporal regions. Each of these intense pain attacks lasted around one minute and presented a frequency of two to eight times per day. The pain was associated with ipsilateral lacrimation, conjunctival injection and rhinorrhea. MRI revealed a pituitary tumor with little suprasellar extent. The subject’s serial assays of prolactin, GH, TSH and ACTH were within normal levels. Following transsphenoidal hypophysectomy, with complete removal of the tumor, the subject no more presented pain. The pathological diagnosis was non-secreting adenoma. Fourteen months after the surgery, he remains symptom-free.

Cephalalgia ◽  
2009 ◽  
Vol 30 (6) ◽  
pp. 735-739 ◽  
Author(s):  
A Trauninger ◽  
B Alkonyi ◽  
N Kovács ◽  
S Komoly ◽  
Z Pfund

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is characterized by severe and frequent daily pain attacks causing transient physical disability for the patients during the headache period. Currently there is no option for abortive treatment of the attacks, mainly due to the short-lived nature and frequency of the repeated headaches, while highly efficacious therapy is also unavailable for short-term prevention. We report rapidly suppressed headache attacks with orally administered methylprednisolone in eight headache periods of three patients with idiopathic, episodic SUNCT syndrome. The remission was maintained until the period was over in all cases. Although the mechanism of methylprednisolone action is unclear, it is probably based on the anti-inflammatory effects of the drug.


2019 ◽  
pp. 35
Author(s):  
Julia Vescovi Vieira ◽  
Amanda dos Santos Cintra ◽  
Ana Paula Alves Fonseca ◽  
Antônio José da Rocha ◽  
Renan Barros Domingues

Case Report


Cephalalgia ◽  
2011 ◽  
Vol 31 (7) ◽  
pp. 870-873 ◽  
Author(s):  
Khaled Effendi ◽  
Samir Jarjoura ◽  
David Mathieu

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. Case: 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. Conclusion: Gamma knife radiosurgery is an option for medically refractory SUNCT patients.


1996 ◽  
Vol 1 (1) ◽  
pp. E3 ◽  
Author(s):  
Michael D. Cusimano ◽  
Ronald S. Fenton

A number of milestones have marked the development of transsphenoidal pituitary tumor resection this century. The introduction of headlamp illumination, followed by the use of the operating microscope and fluoroscopy have allowed neurosurgeons to perform this surgery in a safe and highly effective manner. With the aid of a case report, we describe the incorporation of endoscopic techniques in pituitary tumor resection. The technique described is minimally invasive, avoiding septal dissection and allowing unsurpassed, unobstructed, and panoramic visualization of the region of interest to the surgeon and operative team.


BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Mingqiang Song ◽  
Haijing Wang ◽  
Li Song ◽  
Haiye Tian ◽  
Quanxu Ge ◽  
...  
Keyword(s):  

2016 ◽  
Vol 6 (24) ◽  
pp. 233-234 ◽  
Author(s):  
Sabari Nath

Abstract We present a case of paediatric nasal foreign body removal using a flexible nasopharyngolaryngoscope, which is used both as an endoscope for visualization and as a hook for the rapid and complete removal of the nasal foreign body (“Visual Hook“).


2020 ◽  
Vol 21 ◽  
pp. 100777
Author(s):  
Zachary K. Christian ◽  
Kimmo J. Hatanpaa ◽  
Richard J. Auchus ◽  
Stephen R. Hammes ◽  
Ankur R. Patel ◽  
...  

2021 ◽  
Vol 29 (2) ◽  
pp. 209-212
Author(s):  
Misbahul Haque ◽  
Subhrajit Das ◽  
Subrata Mukhopadhyay

Introduction The occurrence of isolated spheno-choanal polyps are not very common and can be very well confused with antro-choanal polyps or adenoids in adolescents and children. Appropriate diagnosis and prompt surgical intervention are essential for its removal.   Case Report We report one such case of a 16 year old female who presented with complaints nasal obstruction and reduced hearing. Endoscopic polypectomy was done with complete removal of the polyp.   Discussion Sphenochoanal Polyp is often misdiagnosed and proper investigations are thus essential for its diagnosis. Surgical Approach is the mainstay form of treatment with complete excision of the polyp.


Author(s):  
Manish Munjal ◽  
Japneet Kaur ◽  
Gopika Talwar ◽  
Amanjot Kaur ◽  
Shubham Munjal ◽  
...  

<p class="abstract">Facial cosmesis is the primary concern, whatsoever maybe the lesion, benign or malignant. The subject wishes that the facial features be retained and the surgeon, that his handiwork is appreciated. Utilising the relaxed skin tension lines and the wrinkle creases one, can usually achieve an obnoxious scar free face. Such an intervention was undertaken in an individual with an indwelling inclusion cyst in the naso-maxillary groove.</p>


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