3.3.1.2 Chronic SUNCT

A 33-year-old bakery owner has had headache attacks confined to one side for about a year now. She feels them at her left temple, moderate rather than severe in strength, and they arrive as a rapid burst of jabbing stabs rather than a single jolt. Each attack lasts roughly six and a half minutes. During an attack her left eyelid swells up, the eye reddens, and it waters throughout. She has about five attacks on a rough day, and across the year she reckons the running total is close to 1800. Over the past twelve months, she has never had a break longer than about three months without attacks returning.