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Copyright © 2016 Yi Zhang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) syndrome is an unusual cause of headache, mainly described in older adults, and is rare in children. Pain attacks may be severe, frequent, and prolonged. The therapeutic benefits of many drugs are disappointing. Patient and Methods. A 12-year-old boy suffered severe headache and toothache for 20 days. As treatment with nonsteroidal anti-inflammatory drugs, anticonvulsants, and steroids proved ineffective, he was treated with ipsilateral multisite subcutaneous injections of botulinum toxin A 70 U around the orbit, the temporal area, and the upper gum. Results. The pain had reduced in frequency and severity by the fourth day after treatment and had completely disappeared after 7 days. There were no side effects or recurrence during a subsequent 17-month follow-up period. Conclusion. Botulinum toxin A can be used to treat the first episode of SUNCT in children over the age of 12 years.

Details

Title
Botulinum Toxin A for the Treatment of a Child with SUNCT Syndrome
Author
Zhang, Yi; Zhang, Haifeng; Ya-Jun, Lian; Yun-Qing, Ma; Nan-Chang, Xie; Cheng, Xuan; Zhang, Lu
Publication year
2016
Publication date
2016
Publisher
John Wiley & Sons, Inc.
ISSN
12036765
e-ISSN
19181523
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1795281303
Copyright
Copyright © 2016 Yi Zhang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.