scholarly journals Stereotactic radiotherapy for presumed oculomotor nerve schwannoma masquerading as “ophthalmoplegic migraine”

2018 ◽  
Vol 53 (5) ◽  
pp. e167-e168 ◽  
Author(s):  
Rami Abo-Shasha ◽  
Glenn S. Bauman ◽  
J. Alexander Fraser
Keyword(s):  
Stereotactic Radiotherapy ◽  
Oculomotor Nerve ◽  
Ophthalmoplegic Migraine

scholarly journals Recurrent Painful Ophthalmoplegic Neuropathy Affecting Right Oculomotor Nerve in 10-Year-Old Male. Case Report

2018 ◽  
Vol 6 (3) ◽  
pp. 114-117
Author(s):  
Sharmila Segar ◽  
Chandni Duphare ◽  
Osemelu Aburime
Keyword(s):  
Case Report ◽  
Cranial Nerve ◽  
Oculomotor Nerve ◽  
Annual Incidence ◽  
Ongoing Debate ◽  
Treatment Choices ◽  
Ophthalmoplegic Migraine ◽  
Recurrent Painful Ophthalmoplegic Neuropathy ◽  
Future Management

Background: Recurrent painful ophthalmoplegic neuropathy (RPON), formerly known as ophthalmoplegic migraine (OM), is a poorly understood condition that presents with recurrent unilateral headaches and at least one ocular cranial nerve (CN) palsy, generally in childhood. There has been ongoing debate about whether the etiology of this disorder is neuropathic or related to migraines. The Case: We present a case about a 10-year-old male with his third presentation of RPON, repeatedly affecting his right oculomotor nerve. His treatment choices are discussed, along with associated outcomes. The patient was treated with topiramate with resolution of his symptoms occurred within one month. Conclusion: As the annual incidence of RPON is rare at fewer than 1 case per million people, clear documentation of observed cases with treatment failures and successes is key to building evidence for future management.

Ophthalmoplegic Migraine: A Recurrent Demyelinating Neuropathy?

Cephalalgia ◽  
2001 ◽  
Vol 21 (2) ◽  
pp. 84-89 ◽  
Author(s):  
JW Lance ◽  
AS Zagami
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Adult Life ◽  
Oculomotor Nerve ◽  
Resonance Imaging ◽  
Case Histories ◽  
Demyelinating Neuropathy ◽  
Painful Ophthalmoplegia ◽  
Ophthalmoplegic Migraine ◽  
Magnetic Resonance Imaging Mri

The demonstration by magnetic resonance imaging (MRI) scanning of thickening and enhancement of the cisternal part of the oculomotor nerve in patients diagnosed as ‘ophthalmoplegic migraine’ prompts reconsideration of this uncommon disorder. The case histories of five patients, three male and two female, varying in age from 6 to 30 years, are presented here. Recurrent painful ophthalmoplegia started in infancy in two cases, childhood in two instances and adult life in one. One child had his first attacks at 3, 5 and 12 months of age, on each occasion 10 days after an injection of triple vaccine. The possibility of this condition being a recurrent demyelinating neuropathy is considered and its possible relationship to migraine explored.

Ophthalmoplegic Migraine in Infancy

PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 886-888
Author(s):  
William C. Robertson ◽  
Eugene R. Schnitzler
Keyword(s):  
Young Children ◽  
Pediatric Patient ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Ophthalmoplegic Migraine ◽  
Unusual Finding ◽  
Third Nerve

Isolated oculomotor nerve palsy is an unusual finding in the pediatric patient. Third nerve weakness is a rare complication of vascular headaches, and there are few reported cases of so-called ophthalmoplegic migraine (OM) in young children. Recently we have seen a 12-month-old girl with OM that appeared to respond to treatment with propranolol.

Resolution of Mri Abnormalities of the Oculomotor Nerve in Childhood Ophthalmoplegic Migraine

Cephalalgia ◽  
1999 ◽  
Vol 19 (7) ◽  
pp. 655-659 ◽  
Author(s):  
JM Prats ◽  
B Mateos ◽  
C Garaizar
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Inflammatory Diseases ◽  
Oculomotor Nerve ◽  
Remote Memory ◽  
Resonance Imaging ◽  
Anatomic Site ◽  
Ophthalmoplegic Migraine ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Changes

Ophthalmoplegic migraine is an uncommon disorder, usually starting in older childhood. Its physiopathology remains obscure and diagnosis is reliant on clinical grounds and exclusion of other disorders. We report four cases of childhood ophthalmoplegic migraine, one of them starting in infancy. Association with other types of migraine is common. Two of the three patients studied by magnetic resonance imaging (MRI) showed enhancement and enlargement of the cisternal portion of the oculomotor nerve, which spontaneously resolved after 2 and 4 years, respectively. Persistence of clinical recurrences was associated with long-lasting presence of the MRI finding, and possibly with mild sequelae. These radiological abnormalities suggest a common physiopathological mechanism with other inflammatory diseases, except for a benign evolution which, added to its specific anatomic site, seems to be the only neuroradiological marker, besides normality, in ophthalmoplegic migraine. The very long potential duration of MRI changes and the scarcity of clinical episodes make feasible its incident discovery once the migraine attack has become a remote memory.

Recurrent Ophthalmoplegia in Childhood: Diagnostic and Etiologic Considerations

Cephalalgia ◽  
1996 ◽  
Vol 16 (4) ◽  
pp. 276-279 ◽  
Author(s):  
JR Østergaard ◽  
HU Møller ◽  
T Christensen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Early Childhood ◽  
Magnetic Resonance ◽  
Oculomotor Nerve ◽  
Resonance Imaging ◽  
Painful Ophthalmoplegia ◽  
Prepontine Cistern ◽  
The Third ◽  
Ophthalmoplegic Migraine ◽  
Nerve Dysfunction

We present two patients with recurrent painful ophthalmoplegia starting in early childhood. Clinically, both patients fulfilled the criteria for ophthalmoplegic migraine. In one case, magnetic resonance investigations were performed following the second attack, between the third and fourth and during the fourth attack. The left third cranial nerve was significantly thickened in its course from the brainstem through the prepontine cistern to the cavernous sinus during the attacks and moderately thickened between the attacks. In the second case, magnetic resonance imaging was performed during the 14th attack, when the oculomotor nerve dysfunction was almost permanent, and the imaging demonstrated a swollen oculomotor nerve. Whether these findings are pathognomonic of ophthalmoplegic migraine awaits further reports using magnetic resonance imaging in infants showing recurrent painful ophthalmoplegia of early onset.

A Case of Ophthalmoplegic Migraine: Some Observations

2011 ◽  
Vol 24 (6) ◽  
pp. 862-866 ◽  
Author(s):  
S. Patro ◽  
T. Banerjee
Keyword(s):  
Differential Diagnosis ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Brain Mri ◽  
Oculomotor Nerve ◽  
Root Exit Zone ◽  
Ophthalmoplegic Migraine ◽  
Characteristic Imaging ◽  
History Of

We describe a 43-year-old man with a long-standing history of headache and ophthalmoplegia. Brain MRI showed a nodular enhancing lesion at the root exit zone of the left oculomotor nerve. Contrast enhancement on follow-up MRI and clinical symptoms showed a partial resolution on starting prophylactic anti-migraine medications. This was confirmed to be a case of ophthalmoplegic migraine. Here we describe a rare case of OM in an adult patient with its characteristic imaging pattern and the differential diagnosis considered.

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