Introduction

Trigeminal autonomic cephalalgias (TACs) are characterized by paroxysmal attacks of unilateral primary headaches associated with ipsilateral craniofacial autonomic symptoms. In this pediatric case series, 13 cases of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)/short-lasting unilateral neuralgiform headache with autonomic symptoms (SUNA), including children ages 3–18 years, are discussed. This paper reviews the application of International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria especially in children presenting with SUNCT or SUNA. This is the largest pediatric case series of SUNCT/SUNA reported in the literature.

Background

Trigeminal autonomic cephalalgias are rare in children and adolescents, with SUNCT/SUNA having the least reported cases. We will discuss the application of ICHD-3 criteria to diagnose SUNCT/SUNA in children and review overlapping cases and their response to different treatment options including indomethacin, which is typically reserved for specific subtypes of TACs; for example, paroxysmal hemicrania.

Conclusion

This case series presents a unique opportunity to aid in the diagnosis and treatment of similar pediatric cases in the future. It helps us to broaden the ICHD-3 criteria to diagnose and treat different overlapping trigeminal autonomic cephalalgia cases in children.

中文翻译：

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儿童和青少年的 SUNCT/SUNA：ICHD-3 标准的应用和治疗反应：13 个 SUNCT/SUNA 儿童病例的病例系列。

介绍

三叉神经自主性头痛 (TAC) 的特征是单侧原发性头痛的阵发性发作，与同侧颅面自主神经症状相关。在这个儿科病例系列中，讨论了 13 例伴有结膜充血和撕裂的短时单侧神经痛样头痛发作 (SUNCT)/伴有自主神经症状的短时单侧神经痛样头痛 (SUNA)，包括 3-18 岁的儿童。本文回顾了国际头痛疾病分类第 3 版 (ICHD-3) 标准的应用，特别是在出现 SUNCT 或 SUNA 的儿童中。这是文献中报道的最大的 SUNCT/SUNA 儿科病例系列。

背景

三叉神经自主性头痛在儿童和青少年中很少见，其中 SUNCT/SUNA 的报告病例最少。我们将讨论 ICHD-3 标准在儿童 SUNCT/SUNA 诊断中的应用，并回顾重叠病例及其对不同治疗方案的反应，包括通常为特定 TAC 亚型保留的消炎痛；例如，阵发性偏头痛。

结论

该病例系列提供了一个独特的机会，可以帮助将来诊断和治疗类似的儿科病例。它有助于我们拓宽 ICHD-3 标准，以诊断和治疗儿童不同重叠的三叉神经自主神经性头痛病例。