05/08/2026
Kan hodepine vare bare sekunder, og fortsatt være ekstremt smertefult? Ja, anfallene ved SUNCT varer fra 1 sekund til 10 minutter. Det er typisk å ha flere anfall daglig i perioder.
De fleste beskriver smerten som den sterkeste de noen gang har kjent.
SUNCT = Short-lasting Unilateral Neuralgiform headache attacs with Conjunctival injection and Tearing.
På norsk:
Kortvarige, ensidige og stikkende hodepineanfall med rødt og rennende øye.
SUNCT hører til under gruppen TACs, trigeminal-autonome hodepiner. TAC’s er primære ensidige hodepinesykdommer, med smerter som stammer fra hjernenerven trigeminus.
Noen har både SUNCT og Trigeminusnevralgi eller klasehodepine.
Can a headache last only seconds… yet be excruciating?
Some attacks strike suddenly, last just 1–600 seconds, recur many times a day, and are accompanied by striking autonomic symptoms such as:
💧 Tearing
🔴 Red eye
👃 Nasal congestion or runny nose
👁️ Drooping eyelid or a small pupil
These are the hallmark features of Short-lasting Unilateral Neuralgiform Headache Attacks (SUNHA)—a rare but highly disabling group of trigeminal autonomic cephalalgias that is often misdiagnosed.
According to ICHD-3 Classification 3.3.1 Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) are attacks of moderate or severe, strictly unilateral head pain lasting seconds to minutes, occurring at least once a day and usually associated with prominent lacrimation and redness of the ipsilateral eye.https://ichd-3.org/3-trigeminal-autonomic-cephalalgias/3-3-short-lasting-unilateral-neuralgiform-headache-attacks/3-3-1-short-lasting-unilateral-neuralgiform-headache-attacks-with-conjunctival-injection-and-tearing-sunct/
Have you encountered a patient with attacks like these?