A boy with bilateral SUNA: A case report. (September 2017)

• Record Type: Journal Article
• Authors: Vuković Cvetković, Vlasta; Jensen, Rigmor Højland
• Is Part Of: Cephalalgia. Volume 37:Number 10(2017)
• Page Start: 1001
• Page End: 1004
• Publication Date: 2017-09
• Subjects: SUNA -- indomethacin -- autonomic cephalalgia; Headache -- Periodicals; 616.8491
• DOI: 10.1177/0333102416663467
• Languages: English
• ISSNs: 0333-1024

Abstract

Background: Short-lasting unilateral neuralgiform headache attacks (SUNA) is a primary headache characterized by frequent attacks of severe headaches in association with ipsilateral cranial autonomic features. SUNA is defined as a strictly unilateral pain and bilateral cases are very unusual, so secondary causes should be searched for vigorously if there are bilateral symptoms. Despite a number of therapeutic trials, effective management for the majority of SUNA patients is not available at present. Management of SUNA is often difficult. Case: We report the case of a young boy with bilateral SUNA attacks, with no detected underlying cause, who is responsive to indomethacin. Conclusion: Rarely, primary SUNA can present with bilateral symptoms. According to our experience in this case, indomethacin should always be offered to patients with suspected SUNA.