Bilateral SUNCT-like headache in a patient with prolactinoma responsive to lamotrigine

J Headache Pain. 2009 Dec;10(6):469-72. doi: 10.1007/s10194-009-0146-y. Epub 2009 Sep 11.

Abstract

Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) syndrome is a rare trigeminal autonomic cephalalgia. The cases of SUNCT with attacks that affected both sides simultaneously have only rarely been reported and some of them had underlying pathology. We have reported a case of bilateral SUNCT-like headache secondary to a prolactinoma and responsive to lamotrigine treatment.

MeSH terms

  • Bromocriptine / administration & dosage
  • Calcium Channel Blockers / administration & dosage
  • Female
  • Functional Laterality / physiology
  • Hormone Antagonists / administration & dosage
  • Humans
  • Lamotrigine
  • Magnetic Resonance Imaging
  • Pituitary Gland / metabolism
  • Pituitary Gland / pathology
  • Pituitary Gland / physiopathology
  • Pituitary Neoplasms / complications*
  • Pituitary Neoplasms / pathology
  • Prolactinoma / complications*
  • Prolactinoma / pathology
  • SUNCT Syndrome / drug therapy*
  • SUNCT Syndrome / etiology*
  • SUNCT Syndrome / physiopathology
  • Treatment Outcome
  • Triazines / administration & dosage*
  • Young Adult

Substances

  • Calcium Channel Blockers
  • Hormone Antagonists
  • Triazines
  • Bromocriptine
  • Lamotrigine