SUNCT: treatment
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
SUNCT: treatment. Lamotrigine: this is the best preventative drug, Topiramate, Gabapentin, Carbamazepine. Fully referenced neurology checklist.
Drug treatments
- Lamotrigine: this is the best preventative drug
- Intravenous Lidocaine: this is used for short-term prevention
- Topiramate
- Gabapentin
- Carbamazepine
- Esclicarbazepine
Interventional treatments for refractory cases
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Investigational treatments
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Acronym
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References
- Goadsby PJ, Cohen AS, Matharu MS. Trigeminal autonomic cephalalgia: diagnosis and treatment. Curr Neurol Neurosci Rep 2007; 7: 117-125.
- May A, Leone M, Afra J, et al. EFNS guidelines on the treatment of cluster headache and other trigeminal-autonomic cephalalgias. Eur J Neurol 2006; 13:1066-1077.
- Matharu MS, Cohen AS, Boes CJ, Goadsby PJ. Short-lasting unilateral neuralgiform headache with conjunctival injection and treating syndrome: a review. Curr Pain Headache Rep 2003; 7:308-318.
- Matharu MS, Cohen AS, Goadsby PJ. SUNCT syndrome responsive to intravenous lidocaine. Cephalalgia 2004; 24:985-992.
- Lambru G, Shanahan P, Watkins L, Matharu MS. Occipital nerve stimulation in the treatment of medically intractable SUNCT and SUNA. Pain Physician 2014; 17:29-41.
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