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

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