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KMID : 0911820140150020067
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Korean Journal of Headache
2014 Volume.15 No. 2 p.67 ~ p.69
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Immunotherapy-responsive Recurrent Painful Ophthalmoplegic Neuropathy
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Woo Ho-Geol
Na Boo-Suk
Song Soo-Jin
Song Jong-Min
Lee Do-Kyung
Ahn Tae-Beom
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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 ocular cranial nerves. The term “OM” was recently replaced by recurrent painful ophthalmoplegic neuropathy (RPON) due to lack of the evidence for pathophysiological link to migraine. We report a 35-year-old man who presented with three major episodes of painful ophthalmoplegia. The episodes were successfully managed by immunotherapy including corticosteroid and azathioprine. Immunotherapy is not established as a standard treatment for RPON, and only an adolescent case was reported to be treated with corticosteroid in Korea. Further studies are needed to formulate immunotherapy in RPON.
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KEYWORD
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Painful ophthalmoplegia, Recurrent painful ophthalmoplegic neuropathy, Immunotherapy
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