Open Access

SUNCT: a new case with some unusual features

The Journal of Headache and Pain20056:246

Received: 30 June 2005

Accepted: 14 September 2005

Published: 10 November 2005


A healthy 22–year–old man complained of primary stabbing headache (PSH) for about two months. The headache recurred after one year and after a month the pain took on the characteristics of short–lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT). This patient shows some unusual features: juvenile onset, miosis during attacks as part of autonomic phenomena and close temporal relationship with stressful events. The association between PSH and SUNCT may be interpreted as the coexistence of two different headaches or that the PSH is a forerunner to the SUNCT.

Key words

Primary stabbing headacheSUNCT