Hi I’m Kevin Go, a headache clinician at Brisbane Headache and Migraine Clinic in Spring Hill, with a strong interest in treating all headache and migraine conditions.
Today, we’re diving into a rare and fascinating headache disorder known as SUNCT (Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing).
Ever had a headache so sudden and intense it feels like a bolt of lightning behind your eye? That’s a glimpse into what life with SUNCT can be like. Despite its long, technical name, SUNCT is straightforward in its goal: delivering quick, sharp, and debilitating pain.
Let’s explore this rare condition and how to manage it effectively.
What Is SUNCT?
SUNCT belongs to a group of headaches called trigeminal autonomic cephalalgias (TACs). While rare, it makes a big impact.
Here’s what you need to know:
- Duration: Attacks last just 5–240 seconds (but feel far longer).
- Pain Type: Sharp, stabbing, or burning pain, usually focused around one eye or temple.
- Other Symptoms:
- Eye redness (conjunctival injection).
- Excessive tearing.
- Sometimes nasal congestion or facial sweating.
- Frequency: These attacks don’t just strike once or twice—they can hit up to 200 times a day, leaving you physically and emotionally drained.
What Makes SUNCT a Problem?
The challenge with SUNCT isn’t just the pain—it’s the confusion it creates. Because it’s so rare, SUNCT is often mistaken for migraines, cluster headaches, or trigeminal neuralgia. This leads to delays in diagnosis and treatment.
The Daily Struggles
- Pain strikes out of nowhere, disrupting your day and making it hard to focus.
- Lack of awareness means explaining the condition to others can be frustrating.
- Frequent attacks can interfere with work, relationships, and even basic activities like eating or relaxing.
How Does SUNCT Impact Life—and How Can It Be Managed?
Living with SUNCT is tough, but the good news is that there are effective ways to manage it.
- Track Your Triggers: Use a headache diary to spot potential triggers, like stress or certain movements.
- Stick to a Routine: Regular sleep patterns can help stabilise your condition.
- Stress Management: Consider mindfulness, yoga, or meditation to help manage tension
Your Action Plan
Managing SUNCT takes teamwork, starting with you.
- Step 1: Book an appointment with a headache clinician for diagnosis and hands on treatment.
- Step 2: Collaborate on a tailored treatment plan, including lifestyle changes and exercise.
- Step 3: Stay informed—read related articles on similar conditions like cluster headaches to understand how they differ.
Takeaway
SUNCT might be rare, but it doesn’t have to control your life. By staying proactive, seeking expert advice, and making key lifestyle adjustments, you can reduce the impact of these painful attacks and regain control.
If you suspect that you may be experiencing SUNCT, reach out to us at Brisbane Headache and Migraine Clinic to explore your options.
Written by:
References
Kitahara, I. et al. (2015) ‘Pathogenesis, surgical treatment, and cure for SUNCT syndrome’, World Neurosurgery, 84(4), pp. 1080–1083.
Lambru, G. et al. (2020) ‘Medical treatment of SUNCT and Suna: A prospective open-label study including single-arm meta-analysis’, Journal of Neurology, Neurosurgery & Psychiatry, 92(3), pp. 233–241.
Pareja, J.A. and Sjaastad, O. (1997) ‘SUNCT syndrome. A clinical review’, Headache: The Journal of Head and Face Pain, 37(4), pp. 195–202.
