A Case of Ophthalmoplegic Migraine with Gadolinium Enhancement of the Oculomotor Nerve on MR Imaging.
- Author:
Tae You KIM
1
;
Nack Cheon CHOI
;
Oh Young KWON
;
Hae Jung YUN
;
Jun Hyeok KWAK
;
Sung Chul JEON
;
Byeong Hoon LIM
Author Information
1. Department of Neurology, Gyeongsang National University College of Medicine, Gyeongsang Institute for Neurosciences, Korea.
- Publication Type:Case Report
- Keywords:
Ophthalmoplegic migraine;
MRI;
Oculomotor nerve enhancement
- MeSH:
Diagnosis;
Diplopia;
Gadolinium*;
Headache;
Humans;
Magnetic Resonance Imaging*;
Middle Aged;
Migraine Disorders;
Oculomotor Nerve*;
Ophthalmoplegia;
Ophthalmoplegic Migraine*
- From:Journal of the Korean Neurological Association
1999;17(1):168-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The typical manifestation of repeated migraine headache followed by ophthalmoplegia can be diagnosed as a ophthalmoplegic migraine. The diagnosis requires exclusion of other causes. MRI was useful in excluding other causes of ophthalmoplegia with headache and there is few abnormal findings on MRI in ophthalmoplegic migraine patients. A 55-year-old man with a familial and personal history of migraine was admitted due to left ptosis and diplopia followed by insidiously developed headache. The migraine headache and ophthalmoplegia were improved spontaneously within 3 days and within 4 weeks, respectively. MRI demonstrated gadolinium enhancement on the cisternal portion of left oculomotor nerve.
