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KMID : 0391520130210030184
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Journal of the Korean Child Neurology Society
2013 Volume.21 No. 3 p.184 ~ p.189
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An Adolescent Case of Recurrent Episodes of Ophthalmoplegic Migraine
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Hwang Seon-Young
Yum Mi-Sun
Kim Eun-Hee
Ko Tae-Sung
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Abstract
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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.
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KEYWORD
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Ophthalmoplegic, Migraine, Children, Headache
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