Síndrome salvas-tic: relato de caso e revisão da literatura

Cluster-tic syndrome: case report and literature review

Publicado na 2ª edição de 2017

INTRODUCTION Cluster-tic syndrome is a rare and curious clinical condition characterized by cluster headache coexisting with ipsilateral trigeminal neuralgia.(1-14) The first component represents severe unilateral throbbing attacks in the periorbital or temporal areas commonly associated with facial autonomic symptoms, such as lacrimation, rhinorrhea, conjunctival hyperemia, nasal congestion and palpebral fissure narrowing. In association with this trigeminal neuralgia also occurs, characterized by an ipsilateral paroxysm sharp, shock-like pain (triggered by facial or intraoral stimuli). Moreover, the onset of trigeminal symptoms can occur before or concomitant to the beginning of an attack of a cluster headache, affecting ophthalmic and maxillary branches, without reports referring mandibular region envolviment.(1,7) This syndrome has been reported as secondary to intracranial lesions and may be the initial manifestation of pituitary adenoma,(4) multiple sclerosis,(3) and dural carotid-cavernous fistula.(9) Also, the trigeminal attacks were described not only due to arterial compression but also caused by basilar artery ectasia, prolactinoma, epidermoid tumor, pituitary adenoma or a venous participation, more precisely, with a petrosal vein pressure on the nerve.(1-5,7,9)

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