SUNA: clinical features

Evidence-based neurology checklist on suna: clinical features: Causes Cerebellopontine angle lesions: especially epidermoid cysts Multiple sclerosis (MS) Neuromyelitis optica (NMO) Vertebral artery dissection Cortical dysplasia Trauma SUNA is usually idiopathic Clinical features Associated cranial…

Causes

  • Cerebellopontine angle lesions: especially epidermoid cysts
  • Multiple sclerosis (MS)
  • Neuromyelitis optica (NMO)
  • Vertebral artery dissection
  • Cortical dysplasia
  • Trauma
  • SUNA is usually idiopathic

Clinical features

Associated cranial autonomic features

Triggers

Migraine family history

Unusual features

Differentials

Acronym

References

  1. Jiménez Caballero PE, Portilla Cuenca JC, Casado Naranjo I. Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) secondary to epidermoid cyst in the right cerebellopontine angle successfully treated with surgery. J Headache Pain 2011; 12:385-387. 
  2. Mizuno Y, Shinoda K, Watanabe M, Matsushita T, Yamasaki R, Kira JI. Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms in NMOSD. Neurol Neuroimmunol Neuroinflamm 2018; 5:e447.
  3. Tada Y, Ikuta N, Negoro K. Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). Intern Med 2009; 48:2141-2144.
  4. Weng HY, Cohen AS, Schankin C, Goadsby PJ. Phenotypic and treatment outcome data on SUNCT and SUNA, including a randomised placebo-controlled trial. Cephalalgia 2017; 1:333102417739304 (Epub ahead of print).
  5. Lambru G, Nesbitt A, Shanahan P, Matharu MS. Coexistence of hemiplegic migraine with SUNCT or SUNA: a case series. Cephalalgia 2012; 32:258-262. 
  6. And 3 more. Subscribe to see the full list

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