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Current Pain and Headache Reports
Erschienen in: Current Pain and Headache Reports 5/2013

01.05.2013 | Trigeminal Autonomic Cephalalgias (M Matharu, Section Editor)

Role of Trigeminal Microvascular Decompression in the Treatment of SUNCT and SUNA

verfasst von: Swapna Sebastian, Daniel Schweitzer, Leong Tan, Simon A. Broadley

Erschienen in: Current Pain and Headache Reports | Ausgabe 5/2013

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Abstract

Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) are primary headache disorders. Evidence suggests that SUNCT/SUNA have similar pathophysiology to the trigeminal autonomic cephalalgias and involves the trigeminal autonomic reflex. This review provides an overview of microvascular decompression of the trigeminal nerve and other surgical therapeutic options for SUNCT/SUNA. We have undertaken a mini-meta-analysis of available case reports and case series with the aim of providing recommendations for the use of such therapies in SUNCT/SUNA. There is some evidence supporting microvascular decompression of the trigeminal nerve in selected patients who have medically refractory SUNCT/SUNA and a demonstrable ipsilateral aberrant vessel on magnetic resonance imaging (MRI). We also consider what further investigations could be undertaken to assess the role of surgical interventions in the treatment of these often debilitating conditions.
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Metadaten
Titel
Role of Trigeminal Microvascular Decompression in the Treatment of SUNCT and SUNA
verfasst von
Swapna Sebastian
Daniel Schweitzer
Leong Tan
Simon A. Broadley
Publikationsdatum
01.05.2013
Verlag
Current Science Inc.
Erschienen in
Current Pain and Headache Reports / Ausgabe 5/2013
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-013-0332-0

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