What is SUNA syndrome?
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Short-lasting unilateral neuralgiform headache with autonomic symptoms (SUNA) has been defined by the International Headache Society (ICHD-2) as similar to SUNCT with less prominent or absent conjunctival injection and lacrimation [1]. SUNCT syndrome has been described secondary to other causes [2].
What causes SUNCT syndrome?
Most of the time SUNCT occurs spontaneously; however, attacks can be triggered by simple daily stimuli such as touching the face or scalp, washing, chewing, eating, talking, coughing, blowing nose, or showering.
How do you treat SUNCT?
Treatment of SUNCT can include IV lidocaine for acute attacks and, for prevention, antiseizure drugs (eg, lamotrigine, topiramate, gabapentin) and occipital nerve stimulation or blockade.
How long does SUNA last?
There is a slight distinction in that SUNCT syndrome involves the two autonomic symptoms of eye redness and tearing, while SUNA can involve any of the autonomic symptoms. SUNA can also have slightly longer-lasting attacks, averaging 10 minutes.
What is Nummular headache?
Also called coin-shaped headache, nummular headache is characterized by small circumscribed areas of continuous pain on the head [3-5]. Nummular headaches are generally of mild to moderate intensity and confined to a round or elliptical unchanging area 2 to 6 cm in diameter.
What does SUNCT feel like?
Symptoms of SUNCT and SUNA The pain can feel like burning, stabbing, throbbing or electric. Attacks also include other autonomic symptoms, such as forehead sweating, pressure around the affected eye, eyelid swelling and eye tearing on the affected side of the face.
How painful is SUNCT?
Pain intensity is moderate to severe; the character is burning, stabbing, or lancinating, lasting from 5 to 240 seconds. The frequency of the pain attacks can range from one to two crises per day to 10–30 crises per hour [2,3].
Does SUNCT go away?
However, patients with SUNCT and SUNA have been known to have their condition for up to 46 years. [14] There is no correlation with mortality, and the disease is not fatal. Prognosis at present is improving, as more treatment strategies become available.
What does the Suna Suna no Mi look like?
Appearance. The Suna Suna no Mi resembles a spherical tan-colored barrel cactus with two stubby arms that point upwards. It has a line of swirls on each rib except on the arms. It also has a green T-shaped peduncle protruding out of the calyx on top.
What is the cap for SUNA GPO?
Damage caps at 25 damage per hit (around 806 DF Mastery). A large, long-ranged block-breaker ground slash that is performed by the user stabbing their arm into the ground. After 2 seconds, it creates an eruption that splits anything in its way.
Is nummular headache serious?
Nummular headache is a chronic primary headache disorder recognized by the international headache society. Although it is a benign disorder, in some instances it can be very resistant to treatment and can cause significant morbidity.
How long does nummular headache last?
The pain is continuous or intermittent, although in a large minority of cases, spontaneous remissions lasting weeks to months may occur. Superimposed on the continuous pain, lancinating pain may occur that initially lasts seconds but may gradually increase in duration to minutes or hours [3,6,7].
What are the types of neuralgiform headaches?
There are two subtypes: short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). These disorders are rare but highly disabling.
What are short-lasting unilateral neuralgiform headache attacks (sunha)?
Short-lasting unilateral neuralgiform headache attacks (SUNHA) is characterized by strictly unilateral trigeminal distribution pain that occurs in association with ipsilateral cranial autonomic features.
What are the treatment options for unilateral neuralgiform headaches?
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome treated successfully with transsphenoidal resection of a growth hormone-secreting pituitary adenoma. J Neurosurg. 2008;109:123–125. doi: 10.3171/JNS/2008/109/7/0123.