A case of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing triggered by mumps meningitis in a patient with recurrent primary stabbing headache

  • Unai Yuki
    Department of Neurology, Tokushima Prefectural Central Hospital
  • Sato Kenta
    Department of Neurology, Tokushima Prefectural Central Hospital

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Other Title
  • ムンプス髄膜炎を契機にshort lasting unilateral neuroralgiform headache attack with conjunctival injection and tearingが顕在化した一次性穿刺様頭痛患者の1例

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Description

<p>A 32-year-old man with a 16-year history of recurrent primary stabbing headache was admitted to our hospital, owing to mumps meningitis. On day 2 of admission, he began experiencing episodes of unbearable intermittent stabbing pain, each lasting few seconds, with conjunctival injection and tearing, on the temporal side of the left orbit. We suspected trigeminal autonomic cephalgias, and administered non-steroidal anti-inflammatory drugs (NSAIDs), oxygen, and sumatriptan; however, the pain episodes persisted. Subsequently, after the start of intravenous lidocaine administration, the pain episodes stopped. We diagnosed a short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), triggered by mumps meningitis. This is a valuable case report, involving a patient with a history of primary stabbing headache who was diagnosed with SUNCT triggered by mumps meningitis.</p>

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 58 (3), 178-181, 2018

    Societas Neurologica Japonica

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