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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
PubMed
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.

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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.

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