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Related Experiment Videos

Ophthalmoplegic migraine.

Avery H Weiss1, James O Phillips

  • 1Division of Ophthalmology, Children's Hospital & Regional Medical Center, Seattle, Washington 98105, USA.

Pediatric Neurology
|January 24, 2004
PubMed
Summary
This summary is machine-generated.

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Ophthalmoplegic migraine can cause eye muscle paralysis. This study in a child suggests the brainstem

Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Ophthalmoplegic migraine is a rare condition causing oculomotor nerve issues.
  • The exact location of the vascular insult (central vs. peripheral nerve) remains unclear.

Observation:

  • A child with ophthalmoplegic migraine showed a deficiency in the near triad (vergence and pupillary response).
  • Normal voluntary conjugate eye movements were observed.
  • Brain MRI showed no abnormalities, including no enhancement of the oculomotor nerve.

Findings:

  • The patient's symptoms localized the vascular insult to the brainstem's oculomotor nerve complex.
  • Deficiency in pupillary response to light and vergence to a point source suggests central nerve involvement.

Implications:

Related Experiment Videos

  • This case refines the understanding of ophthalmoplegic migraine's pathophysiology.
  • It highlights the brainstem oculomotor nerve complex as a potential site of vascular insult in this condition.