SUNA: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
SUNA: clinical features. Cerebellopontine angle lesions: especially epidermoid cysts, Multiple sclerosis (MS). Fully referenced neurology checklist.
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
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Associated cranial autonomic features
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Triggers
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Migraine family history
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Unusual features
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Differentials
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Acronym
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References
- 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.
- 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.
- Tada Y, Ikuta N, Negoro K. Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). Intern Med 2009; 48:2141-2144.
- 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).
- Lambru G, Nesbitt A, Shanahan P, Matharu MS. Coexistence of hemiplegic migraine with SUNCT or SUNA: a case series. Cephalalgia 2012; 32:258-262.
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