Rinsho Shinkeigaku (Clinical Neurology)

Case Report

A case of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing triggered by mumps meningitis in a patient with recurrent primary stabbing headache

Yuki Unai, M.D.1) and Kenta Sato, M.D., Ph.D.1)

1)Department of Neurology, Tokushima Prefectural Central Hospital

A 32-year-old man with a 16-year history of recurrent primary stabbing headache was admitted to our hospital, owing to mumps meningitis. On day 2 of admission, he began experiencing episodes of unbearable intermittent stabbing pain, each lasting few seconds, with conjunctival injection and tearing, on the temporal side of the left orbit. We suspected trigeminal autonomic cephalgias, and administered non-steroidal anti-inflammatory drugs (NSAIDs), oxygen, and sumatriptan; however, the pain episodes persisted. Subsequently, after the start of intravenous lidocaine administration, the pain episodes stopped. We diagnosed a short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), triggered by mumps meningitis. This is a valuable case report, involving a patient with a history of primary stabbing headache who was diagnosed with SUNCT triggered by mumps meningitis.
Full Text of this Article in Japanese PDF (372K)

(CLINICA NEUROL, 58: 178|181, 2018)
key words: mumps meningitis, SUNCT, headache, primary stabbing headache

(Received: 19-Oct-17)