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Reader’s Mail: Effect of Radiation on SUNCT

Q: I am a sufferer of SUNCT (short-lasting unilateral neuralgiform headache with conjunctival injection and tearing), and doctors have recommended prophylactic cranial irradiation for my small cell lung cancer.

Can you tell me what effect this radiation will have on me regarding SUNCT? Is the radiation treatment an option or not and why?

A: I have experience with this combination.  I doubt this is predictable. Even the treatment of SUNCT is difficult, and results are unpredictable. We know even less about exacerbating factors.

Mark Green, MD
The Mount Sinai Center for Headache and Pain Medicine
New York, NY

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