Short-Lasting Unilateral Neuralgiform Headache With Conjunctival Injection and Tearing (SUNCT)

ByStephen D. Silberstein, MD, Sidney Kimmel Medical College at Thomas Jefferson University
Reviewed/Revised Apr 2023
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Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), a rare disorder, resembles cluster headaches. It usually causes short but frequent bouts of pain around the eye on one side of the head.

(See also Overview of Headache.)

Because of their similarities, SUNCT and cluster headaches are often grouped together as trigeminal autonomic cephalgias. Trigeminal autonomic cephalgias also include chronic paroxysmal hemicrania, and hemicrania continua—all very rare disorders.

Usually, pain occurs around the eye on one side of the head. People may have up to 200 bouts of pain a day, and the pain may last from 5 seconds to over 4 minutes. The affected eye is red (called conjunctival injection) and frequently waters (tears).

Short-lasting unilateral neuralgiform headache with cranial autonomic symptoms (SUNA) is similar to SUNCT. It differs from SUNCT in that it involves conjunctival injection (blood shot eyes) or tearing, but not both. Other symptoms of SUNCT and SUNA are similar. Both are short-lasting unilateral neuralgiform headaches.

Doctors diagnose SUNCT based on symptoms. Magnetic resonance imaging (MRI) is done to rule out other causes.

Treatment of SUNCT

  • To prevent attacks, antiseizure medications or injection of certain medications

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