Ophthalmoplegic migraine with Oculomotor Paralysis: case report

Year 2014, , 202 - 205, 01.12.2014

Fatma Şimşek Filiz Aktaş

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.

Keywords

ophthalmoplegia migraine, oculomotor nerve palsy, magnetic rezonance imaging.

Okulomotor Paralizi ile Seyreden Oftalmoplejik migren: olgu sunumu

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.

Keywords

oftalmoplejik migren, okulomotor sinir felci, manyetik rezonans görüntüleme

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