J Korean Neurol Assoc.  1990 Jun;8(1):175-179.

Ophthalmoplegic Migraine: A Case Report

• Kim YI
• Kang MS
• Ahn JH
• Lee KS
• Kim BS
• Lieu KM

Abstract

The painful ophthalmoplegia may be caused by various diseases such as tuberculous meningitis, brain tumor, diabetes mellitus, aneurysm of internal carotid artery, nasopharyngeal tumor, temporal arteritis, Tolosa-Hunt syndrome, exophthalmic ophthalmoplegia, ophthalmoplegic migraine and pseudotumor of orbit. Ophthalmoplegic migraine can be diagnosed by the symptom of typical migraine followed by ophthalmoplegia but sbould be a diagnosls of exclusion. The present report describes a case of ophthalmoplegic migraine, a 9 year-old girl with migrainous headache followed by right orbital pain and oculomotor nerve palsy The patient responded well to propranolol. Literatures are briefly reviewed.

MeSH Terms

Aneurysm
Brain Neoplasms
Carotid Artery, Internal
Child
Diabetes Mellitus
Female
Giant Cell Arteritis
Headache
Humans
Migraine Disorders
Oculomotor Nerve Diseases
Ophthalmoplegia
Ophthalmoplegic Migraine*
Orbit
Propranolol
Tolosa-Hunt Syndrome
Tuberculosis, Meningeal
Propranolol