Ophthalmoplegic migraine in a child, an accelerated clinical and radiologic response to steroid therapy
- Author:
Archana Verma
;
Alok Kumar
;
Vineeta Singh
- Publication Type:Journal Article
- From:Neurology Asia
2012;17(4):357-359
- CountryMalaysia
- Language:English
-
Abstract:
Ophthalmoplegic migraine is characterized by recurrent attacks of migraine-like headache with paresis
of ocular cranial nerves. To date, the exact etiology of ophthalmoplegic migraine remains unknown.
We report a 9-year-old girl with typical clinical features of ophthalmoplegic migraine. She presented
to us shortly after onset of her fi fth episode. The initial episodes of opthalmoplegia used to last
for about 2-3 months with gradual and complete recovery. Brain MRI with contrast study revealed
a thickened, enhancing right oculomotor nerve in the cisternal segment during the acute phase of
ophthalmoplegia. She was treated with steroid for two weeks as well as with divalproex sodium
for prophylaxis of migraine. There was complete recovery of ophthalmoplegia after four weeks of
treatment with complete resolution of third nerve enhancement on repeat imaging. There were no
further episodes of ophthalmoplegia within a follow up period of one year. Steroid therapy may hasten
the recovery of ophthalmoplegia and prophylactic treatment of migraine may reduce the episodes and
severity of ophthalmoplegic migraine.
- Full text:P020150710539492053988.pdf
