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Ophthalmoplegic migraine with Oculomotor Paralysis: case report

Year 2014, , 202 - 205, 01.12.2014
https://doi.org/10.5505/sakaryamj.2014.58561

Abstract

Ophthalmoplegic migraine; is a rare pathology in literatüre, which is characterized with recurrent attacks of headache and ophtalmoplegia that usually begins during childhood. Ophthalmoplegia occurs due to paralysis of 3th, 4th or 6th cranial nerves. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may demonstrate permanent defects. Due to the poor radiological findings of oculomotor nerve during attack, it is difficult to make differential diagnosis. In this manuscript we report the one year follow up results and treatment strategy of a 26-year-old male patient with ophtalmoplegic migraine.

References

  • Stidham DB, Butler IJ. Recurrent isolated ptosis in presumed ophthalmoplegic migraine of childhood. Ophthalmology 2000; 107: 1476-1478
  • Rothner AD and Menkes JH, Headaches and nonepileptic episodic disorders. In: Menkes JH, Sarnat HB and Maria BL, Editors, Child neurology (7th ed), Lippincott Williams & Wilkins, Philadelphia (2006), p. 951.
  • Headache Classification Subcomittee of international Headache Society. The international Classification of Headache disorders. 2nd edition. Cephalalgia 2004; 24: 9-160.
  • O'Hara MA., Anderson RT.and Brown D., Magnetic resonance imaging in ophthalmoplegic migraine of children, J AAPOS 2001; 5: 307-310.
  • Arasho BD. Ophthalmoplegic migraine in a 15-year-old Ethiopian: Case report and literature review. J Headache Pain. 2009;10:45-9.
  • Afghani T. Ophthalmoplegic migraine. A case report and review of literature. Al-Shifa J Ophthalmol. 2005;1:10-6.
  • Ravishankar K. Ophthalmoplegic migraine: Still a diagnostic dilemma? Curr Pain Headache Rep. 2008;12:285-91.
  • Ramelli GP, Vella S, Lovblad K, Remonda L, Vassella F. Swelling of the third nevre in a child with transient oculomotor paresis: A possible cause of ophthalmoplegic migraine. Neuropediatrics. 2000;31:145-7.
  • Curran RE. Ophthalmic presentations of cluster headache. Ann Ophthalmol 1975; 7: 1191-1194.
  • Shevell MI, Silver K, Watters GV, Rosenblatt B. Transient oculosympathetic paresis (group II Raeder paratrigeminal neuralgia) of childhood: migraine variant. Pediatr Neurol 1993; 9: 289-292.
  • Wong V, Wong WC. Enhancement of oculomotor nerve: a diagnostic criterion for ophthalmoplegic migraine? Pediatr Neurol 1997; 17: 70-73.

Okulomotor Paralizi ile Seyreden Oftalmoplejik migren: olgu sunumu

Year 2014, , 202 - 205, 01.12.2014
https://doi.org/10.5505/sakaryamj.2014.58561

Abstract

Oftalmoplejik migren; çocukluk çağında başlayan, tekrarlayan başağrısı atakları ve oftalmoplejiyle karakterize, literatürde ender rastlanılan bir patolojidir. Oftalmopleji; 3., 4. ya da 6. kranial sinirin paralizisine bağlı olarak ortaya çıkar. Ataklar bazen birkaç saat, bazen de birkaç hafta sürebilir ve genelde uygun tedaviyle düzelir ancak bazı olgularda kalıcı sorunlar görülebilir. Atak esnasında okülomotor sinire ait radyolojik bulguların oldukça az olması nedeni ile ayırıcı tanı güçleşmektedir. Bu çalışmada, oftalmoplejik migren tanısı alan 26 yaşındaki erkek hasta bir yıllık izlem sonuçları ve tedavi yaklaşımı ile sunulmuştur.

References

  • Stidham DB, Butler IJ. Recurrent isolated ptosis in presumed ophthalmoplegic migraine of childhood. Ophthalmology 2000; 107: 1476-1478
  • Rothner AD and Menkes JH, Headaches and nonepileptic episodic disorders. In: Menkes JH, Sarnat HB and Maria BL, Editors, Child neurology (7th ed), Lippincott Williams & Wilkins, Philadelphia (2006), p. 951.
  • Headache Classification Subcomittee of international Headache Society. The international Classification of Headache disorders. 2nd edition. Cephalalgia 2004; 24: 9-160.
  • O'Hara MA., Anderson RT.and Brown D., Magnetic resonance imaging in ophthalmoplegic migraine of children, J AAPOS 2001; 5: 307-310.
  • Arasho BD. Ophthalmoplegic migraine in a 15-year-old Ethiopian: Case report and literature review. J Headache Pain. 2009;10:45-9.
  • Afghani T. Ophthalmoplegic migraine. A case report and review of literature. Al-Shifa J Ophthalmol. 2005;1:10-6.
  • Ravishankar K. Ophthalmoplegic migraine: Still a diagnostic dilemma? Curr Pain Headache Rep. 2008;12:285-91.
  • Ramelli GP, Vella S, Lovblad K, Remonda L, Vassella F. Swelling of the third nevre in a child with transient oculomotor paresis: A possible cause of ophthalmoplegic migraine. Neuropediatrics. 2000;31:145-7.
  • Curran RE. Ophthalmic presentations of cluster headache. Ann Ophthalmol 1975; 7: 1191-1194.
  • Shevell MI, Silver K, Watters GV, Rosenblatt B. Transient oculosympathetic paresis (group II Raeder paratrigeminal neuralgia) of childhood: migraine variant. Pediatr Neurol 1993; 9: 289-292.
  • Wong V, Wong WC. Enhancement of oculomotor nerve: a diagnostic criterion for ophthalmoplegic migraine? Pediatr Neurol 1997; 17: 70-73.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Fatma Şimşek This is me

Filiz Aktaş This is me

Publication Date December 1, 2014
Submission Date September 7, 2015
Published in Issue Year 2014

Cite

AMA Şimşek F, Aktaş F. Okulomotor Paralizi ile Seyreden Oftalmoplejik migren: olgu sunumu. Sakarya Tıp Dergisi. December 2014;4(4):202-205. doi:10.5505/sakaryamj.2014.58561

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