{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:19:23Z","timestamp":1790702363536,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Little is known about short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). We present our experience with SUNCT\/SUNA patients to aid identification and management of these disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of patient records of one orofacial pain clinic was performed. Inclusion criteria was a diagnosis of SUNCT\/SUNA confirmed with at least one follow-up visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six of the 2464 new patients seen between 2015\u20132018 met the selection criteria (SUNCT n\u2009=\u20092, SUNA n\u2009=\u20094). Gender distribution was one male to one female and average age of diagnosis was 52 years (range 26\u201362). Attacks were located in the V1\/V2 trigeminal distributions, and five patients reported associated intraoral pain. Pain quality was sharp, shooting, and burning with two patients reporting \u201cnumbness\u201d. Pain was moderate-severe in intensity, with daily episodes that typically lasted for seconds. Common autonomic features were lacrimation, conjunctival injection, rhinorrhea, and flushing. Frequent triggers were touching the nose or a specific intraoral area. Lamotrigine and gabapentin were commonly used as initial therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Differentiating between SUNCT\/SUNA does not appear to be clinically relevant. Presenting symptoms were consistent with those published, except 5\/6 patients describing intraoral pain and two patients describing paresthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102420977292","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T10:47:03Z","timestamp":1606992423000},"page":"665-676","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["SUNCT\/SUNA: Case series presenting in an orofacial pain clinic"],"prefix":"10.1177","volume":"41","author":[{"given":"Beth R","family":"Groenke","sequence":"first","affiliation":[{"name":"Division of TMD & Orofacial Pain, Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2826-2830","authenticated-orcid":false,"given":"Iryna Hryvenko","family":"Daline","sequence":"additional","affiliation":[{"name":"Division of TMD & Orofacial Pain, Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA"},{"name":"Division of Comprehensive Oral Health, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald R","family":"Nixdorf","sequence":"additional","affiliation":[{"name":"Division of TMD & Orofacial Pain, Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA"},{"name":"Department of Neurology, Medical School, University of Minnesota, Minneapolis, MN, USA"},{"name":"Department of Radiology, Medical School, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"bibr1-0333102420977292","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1922"},{"key":"bibr2-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1111\/head.13088"},{"key":"bibr3-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1179\/crn.2006.046"},{"key":"bibr4-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2012.02.018"},{"key":"bibr5-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1998.1802085.x"},{"key":"bibr6-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1046\/j.1600-0404.2003.00237.x"},{"key":"bibr7-0333102420977292","first-page":"329","volume":"48","author":"Noma N","year":"2017","journal-title":"Quintessence Int"},{"key":"bibr8-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000090"},{"key":"bibr9-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"bibr10-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.1997.3706346.x"},{"key":"bibr11-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1177\/0333102419893823"},{"key":"bibr12-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.09.006"},{"key":"bibr13-0333102420977292","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2018.00262"},{"key":"bibr14-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413494273"},{"key":"bibr15-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1249227"},{"key":"bibr16-0333102420977292","doi-asserted-by":"publisher","DOI":"10.1007\/s11940-012-0211-8"},{"key":"bibr17-0333102420977292","first-page":"e1138","volume":"93","author":"Ziegeler C","year":"2019","journal-title":"TACs, and other paroxysmal facial pain syndromes. 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