Three Cases of Ophthalomplegic Migraine.
10.3341/jkos.2010.51.2.307
- Author:
Jeong Hoon CHOI
1
;
Ju Yeon LEE
;
Yun Jeong KIM
Author Information
1. Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea. bonamd@paran.com
- Publication Type:Case Report
- Keywords:
Headache;
Transient diplopia;
Ophthalomplegic Migraine
- MeSH:
Adult;
Brain;
Diplopia;
Evoked Potentials, Visual;
Eye Movements;
Female;
Headache;
Humans;
Male;
Migraine Disorders;
Muscles;
Neuroimaging;
Neurologic Manifestations;
Oculomotor Nerve;
Ophthalmoplegic Migraine;
Paresis
- From:Journal of the Korean Ophthalmological Society
2010;51(2):307-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report three cases of ophthalmoplegic migraine which is a rare condition characterized by the association of headaches with an oculomotor nerve palsy. CASE SUMMARY: A 44-year-old male and two eight-year-old females were presented with diplopia developed after headaches. All of the three patients showed abnormal eye movement and they had past episodes of transient diplopia with headaches. Visual evoked potential (VEP), cerebrospinal fluid (CSF) examination, laboratory findings, and other neurologic tests were all normal, also there was no tumor or cerebrovascular disease on brain MRA & MRI. The symptoms of all patients improved gradually within several weeks from first the visit, with complete recovery seen in all three. CONCLUSIONS: Any patient who has a headache with paresis of the extraocular muscle should be considered for ophthalmoplegic migraine. To diagnose ophthalmoplegic migraine, family history, past medical history, associated symptoms and signs, neurologic examinations and neuroimaging tests are needed.
