J Korean Child Neurol Soc.  2013 Sep;21(3):184-189.

An Adolescent Case of Recurrent Episodes of Ophthalmoplegic Migraine

• Hwang S
• Yum MS
• Kim EH
• Ko TS

Abstract

Ophthalmoplegic migraine (OM) is a poorly understood neurological syndrome characterized by recurrent headaches with paresis of the ocular cranial nerves. The third cranial nerve is most commonly affected; the fourth and sixth nerve less so. The etiology, pathophysiology, and definitive treatment of OM remain unclear. We here report a 12-year-old girl who presented with recurrent OM attacks. This adolescent patient demonstrated contrast-enhanced oculomotor nerves on magnetic resonance imaging during OM episodes and marked responses to steroid treatment. The findings in our present study emphasize the difficulty of OM diagnosis, even with new International Headache Society criteria, because patients rarely fulfill all of the relevant characteristics at the same time.

Keyword

Ophthalmoplegic; Migraine; Children; Headache

MeSH Terms

Adolescent*
Child
Cranial Nerves
Diagnosis
Female
Headache
Humans
Magnetic Resonance Imaging
Migraine Disorders
Oculomotor Nerve
Ophthalmoplegic Migraine*
Paresis