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KMID : 0911820110120020119
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Korean Journal of Headache
2011 Volume.12 No. 2 p.119 ~ p.121
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A Case of Ophthalmoplegic Migraine
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Park Joo-Hyung
Kim Hye-Jin
Cho Won-Kyung
Kim Sang-Yong
Jeong Dae-Chul
Chung Seung-Yun
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Abstract
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Ophthalmoplegic migraine(OM) is a rare disorder characterized by recurrent episodes of migraine-like headaches associated with extrinsic ocular musculature palsy. The oculomotor nerve is the most common cranial nerve affected. We present a 10 year-old girl with throbbing frontal headache, eyeball pain and oculomotor nerve palsy on the right side. T1-weighted, gadolinium-enhanced MRI showed focal thickening and enhancement of the right oculomotor nerve, which were compatible with an OM. After steroid treatment, symptoms completely resolved 2 month later. Ten month later, on the recurrent state of OM, repeated MRI revealed abnormal findings of partially resolved enhancement and persistent thickening of the right oculomotor nerve.
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KEYWORD
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Ophthalmoplegic migraine, Oculomotor nerve palsy
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