Ophthalmoplegic migraine

• Ophthalmoplegic migraine was previously considered as a subtype of migraine.
• Now it is classified as a cranial neuralgia.
• It is characterised by recurrent attacks of migranous type headache associated with paresis of one or more ocular cranial nerves.
• Oculomotor palsy is the most common.
• But abducent and trochlear nerves can also be involved.
• There is no visual loss.
• It usually occurs in children less than 10 years old.
• An inflammatory etiology is proposed.
• The prognosis is generally good.
• The headache is usually relieved within 1 week.
• But the ophthalmologic abnormalities may take days or weeks to resolve.

Ref : Pediatric neurology: a case-based review By Tena Rosser