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Diagnostic criteria for short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA)

Diagnostic criteria for short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA)
Diagnostic criteria for short-lasting unilateral neuralgiform headache attacks
  1. At least 20 attacks fulfilling criteria B through D
  1. Moderate or severe unilateral head pain, with orbital, supra-orbital, temporal and/or other trigeminal distribution, lasting for 1 to 600 seconds and occurring as single stabs, a series of stabs, or in a sawtooth pattern
  1. At least one of the following five cranial autonomic symptoms or signs, ipsilateral to the pain:
  1. Conjunctival injection and/or lacrimation
  1. Nasal congestion and/or rhinorrhea
  1. Eyelid edema
  1. Forehead and facial sweating
  1. Miosis and/or ptosis
  1. Attacks have a frequency of at least one a day
  1. Not better accounted for by another ICHD-3 diagnosis
Diagnostic criteria for SUNCT
  1. Attacks fulfilling criteria for short-lasting unilateral neuralgiform headache attacks
  1. Both conjunctival injection and lacrimation (tearing) ipsilateral to the pain
Diagnostic criteria for SUNA
  1. Attacks fulfilling criteria for short-lasting unilateral neuralgiform headache attacks
  1. Not more than one of conjunctival injection or lacrimation (tearing) ipsilateral to the pain
Episodic SUNCT or SUNA:
Attacks occurring in periods lasting from seven days to one year, separated by pain-free periods lasting at least three months
Chronic SUNCT or SUNA:
Attacks occurring without a remission period, or with remissions lasting less than three months, for at least one year.
ICHD-3: The International Classification of Headache Disorders, 3rd edition; SUNA: short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms; SUNCT: short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing.
Reproduced with permission of the International Headache Society. From: Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018; 38:1. Copyright © 2018 International Headache Society. https://ihs-headache.org/en/. https://journals.sagepub.com/home/cep.
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