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[Opthalomoplegic migraine]
H Chabriat1, M Levasseur, M Schaison
1Service de Neurologie, Hôpital de la Salpêtrière, Paris.
Revue Neurologique
|January 1, 1990
Summary
Ophthalmoplegic migraine, a rare condition, can lead to persistent nerve palsies. This case highlights a 24-year-old man experiencing recurrent attacks and a subsequent third nerve palsy, underscoring the importance of recognizing this migraine subtype.
Area of Science:
- Neurology
- Ophthalmology
- Headache Medicine
Background:
- Ophthalmoplegic migraine is a rare subtype of migraine characterized by recurrent, temporary paralysis of one or more cranial nerves controlling eye movement.
- Its existence and diagnostic criteria have been subjects of debate within the medical community.
- The International Headache Society (IHS) classification recognizes ophthalmoplegic migraine, providing diagnostic guidelines.
Observation:
- This report details a 24-year-old male patient with a 22-year history of both migraine without aura and ophthalmoplegic migraine attacks.
- A significant clinical observation was the development of a persistent right third nerve palsy following the 17th recorded attack of ophthalmoplegic migraine.
- The persistent palsy suggests potential long-term neurological sequelae associated with severe or recurrent ophthalmoplegic migraine episodes.
Findings:
- The case study supports the recognition of ophthalmoplegic migraine as a distinct clinical entity, as per IHS criteria.
- The development of a persistent third nerve palsy in this patient indicates that ophthalmoplegic migraine can result in permanent neurological deficits.
- A review of published cases meeting IHS criteria for ophthalmoplegic migraine is presented, contributing to a broader understanding of the condition.
Implications:
- This case underscores the need for increased awareness and accurate diagnosis of ophthalmoplegic migraine among healthcare professionals.
- Early recognition and appropriate management may be crucial in potentially mitigating the risk of permanent neurological damage.
- Further research into the pathophysiology and long-term outcomes of ophthalmoplegic migraine is warranted to improve patient care and treatment strategies.