Magnetic Resonance Findings in Recurrent Painful Ophthalmoplegic Neuropathy with Reversible Enhancement of Oculomotor Nerve

Abstract

Tekrarlayan ağrılı oftalmoplejik nöropati ipsilateral baş ağrısı ile birlikte bir veya daha fazla oküler kranial sinirlerinin tekrarlanan parezi atakları ile karakterize nadir bir hastalıktır. Biz tekrarlayan ağrılı oftalmoplejik nöropati ve okülomotor sinir felci olan 24 yaşındaki bir erkek hastanın tedavi öncesi ve sonrası MRI/klinik bulgularını tanımladık

Keywords

• Oftalmoplejik migren, tekrarlayan ağrılı oftalmoplejik nöropati, MRG, okulomotor sinir

Magnetic Resonance Findings in Recurrent Painful Ophthalmoplegic Neuropathy with Reversible Enhancement of Oculomotor Nerve

Abstract

Recurrent painful ophthalmoplegic neuropathy is a rare disorder characterized by repeated attacks of paresis of one or more ocular cranial nerves, with ipsilateral headache. We describe a 24-year-old man with recurrent painful ophthalmoplegic neuropathy and oculomotor nerve palsy, in whom clinical features and magnetic resonance imaging findings on pre and post treatment period.

Keywords

• Ophthalmoplegic migraine, recurrent painful ophthalmoplegic neuropathy, MRI, oculomotor nerve

References

1. Bharucha DX, Campbell TB, Valencia I, et al. MRI findings in pediatric ophthalmoplegic migraine: a case report and literature review. Pediatr Neurol 2007; 37:59-63.
2. Mark AS, Casselman J, Brown D, et al. Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomo- tor nerve on contrast-enhanced MR images. AJNR Am J Neuroradiol 1998; 19:1887-91.
3. Miglio L, Feraco P, Tani G, et al. Computed tomography and magnetic resonance imaging findings in ophthalmo- plegic migraine. Pediatr Neurol 2010; 42:434-6.
4. Lal V, Sahota P, Singh P, et al. Ophthalmoplegia with migraine in adults: is it ophthalmoplegic migraine? Headache. 2009; 49:838-50.
5. Gelfand AA, Gelfand JM, Prabakhar P, et al. Ophthalmoplegic "migraine" or recurrent ophthalmople- gic cranial neuropathy: new cases and a systematic re- view. J Child Neurol 2012; 27:759-66.
6. Ramelli GP, Vella S, Lövblad K, et al. Swelling of the third nerve in a child with transient oculomotor paresis: a pos- sible cause of ophthalmoplegic migraine. Neuropediatrics 2000; 31:145-7
7. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33:629-808.