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	<title>Cefaleia em SalvasSUNCT</title>
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		<title>SUNCT</title>
		<link>http://cefaleiaemsalvas.com/wordpress/2009/08/sunct/</link>
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		<pubDate>Tue, 04 Aug 2009 02:45:20 +0000</pubDate>
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		<description><![CDATA[ 
 

Descrição

 

Esta síndrome se caracteriza por crises de dor unilateral de curta duração, muito mais breve do que aquelas vistas em qualquer outra cefaléia trigêminoautonômica e freqüentemente acompanhada de lacrimejamento proeminente e vermelhidão no olho ipsilateral.

 

Critérios diagnósticos

 

A. Pelo menos 20 crises preenchendo os critérios de B a D
B. Crises de dor unilateral, orbitária, supra-orbitária ou temporal, [...]]]></description>
			<content:encoded><![CDATA[<div><strong><span style="font-size: small; color: #292526; font-family: Times New Roman;"><span style="font-size: small; color: #292526; font-family: Times New Roman;"><span style="font-size: small; color: #292526; font-family: Times New Roman;"> </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></strong></div>
<p> </p>
<p><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Descrição</p>
<div><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></div>
<p> </p>
<p></span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Esta síndrome se caracteriza por crises de dor unilateral de curta duração, muito mais breve do que aquelas vistas em qualquer outra cefaléia trigêminoautonômica e freqüentemente acompanhada de lacrimejamento proeminente e vermelhidão no olho ipsilateral.</p>
<div><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></strong></div>
<p> </p>
<p></span></span></span><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Critérios diagnósticos</p>
<div><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></div>
<p> </p>
<p></span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">A. Pelo menos 20 crises preenchendo os critérios de B a D</p>
<p align="left">B. Crises de dor unilateral, orbitária, supra-orbitária ou temporal, em pontada ou pulsátil durando de cinco a 240 segundos</p>
<p align="left">C. A dor se acompanha de hiperemia conjuntival ipsilateral e lacrimejamento</p>
<p align="left">D. As crises ocorrem com freqüência de três a 200 por dia</p>
<p align="left">E. Não atribuída outro transtorno</p>
<p><span style="font-size: xx-small; color: #292526; font-family: Times New Roman;"><span style="font-size: xx-small; color: #292526; font-family: Times New Roman;"><span style="font-size: xx-small; color: #292526; font-family: Times New Roman;"> </span></span></span></p>
<div><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></strong></div>
<p> </p>
<p></span></span></span><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Nota</p>
<div><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></div>
<p> </p>
<p></span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">1. A história e os exames físico e neurológico não sugerem nenhum transtorno dentre os listados nos grupos de cinco a 12, ou a história e/ou os exames físico e/ou neurológico sugerem tal transtorno, mas este é excluído através de investigação apropriada, ou tal transtorno está presente, mas as crises não ocorrem pela primeira vez em estreita relação temporal com o transtorno.</p>
<div><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></strong></div>
<p> </p>
<p></span></span></span><strong><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Comentários</p>
<div><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></span></div>
<p> </p>
<p></span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Esta síndrome foi descrita após a publicação da primeira edição da</p>
<p align="left">Alguns pacientes podem ser vistos apresentando apenas um dos sintomas, hiperemia conjuntival ou lacrimejamento, ou podem ser percebidos outros sintomas autonômicos cranianos, como congestão nasal, rinorréia ou edema palpebral. A 3.3 duraçãp</p>
<p align="left">SUNCT</p>
<p align="left">SUNCT </p>
<p> </p>
<div><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">Classificação Internacional das Cefaléias última década.</span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">e se tornou bastante conhecida na</span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">SUNCT </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">pode ser uma subforma de A3.3 </span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">Cefaléia de curta</span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">, </span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">unilateral</span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">, </span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">neuralgiforme com sintomas autonômicos cranianos. </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">A literatura sugere que os quadros que mais comumente mimetizam 3.3 </span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">SUNA</span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">), descrita no apêndice.</span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"> </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">são causados por lesões na fossa posterior ou envolvendo a hipófise.</span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"> </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">coexistindo com neuralgia do trigêm</span></span></span><span style="font-size: xx-small; color: #292526; font-family: TT8ECO00;"><span style="font-size: xx-small; color: #292526; font-family: TT8ECO00;"></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></span></span></em></em></em></em></em></em></em></em></div>
<p></span></span></span><em><em><em><em><em><em><em><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"></p>
<p align="left">Foram descritos pacientes em que há superposição de 3.3</p>
<p>Esta diferenciação é clinicamente difícil.</p>
<p><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">SUNCT </span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">e 13.1 </span></span></span><em><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">Neuralgia do trigêmeo</span></span></span><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;"><span style="font-size: x-small; color: #292526; font-family: Times New Roman;">. Tais pacientes devem receber ambos os diagnósticos.</span></span></span></em></em></p>
<p></span></span></span></em></em></em></em></em></em></em></em></strong></strong></strong> </p>
<p> </p>
<p> </p>
<p></strong></p>
<p align="left">3.3 Cefaléia de curta duração, unilateral, neuralgiforme com</p>
<p align="left">hiperemia conjuntival e lacrimejamento (SUNCT)</p>
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