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Childhood steroid-responsive ophthalmoplegic migraine
Mahua Roy1, Jagabandhu Ghosh, Sujit Deb
1Department of Pediatric Medicine, North Bengal Medical College and Hospital, Darjeeling, India.
Journal of Pediatric Neurosciences
|October 7, 2011
Summary
Ophthalmoplegic migraine (OM), a cranial nerve disorder, involves headaches and eye muscle weakness. Steroid treatment showed significant improvement in an adolescent patient, suggesting a new therapeutic approach for this condition.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Ophthalmoplegic migraine (OM) presents with recurrent headaches and ocular cranial nerve paresis.
- Historically classified as a migraine variant, OM is now recognized under the neuralgia category by the International Headache Classification (IHCD-II).
- Current understanding views OM as a recurrent demyelinating cranial neuropathy.
Observation:
- This report details a case of an adolescent female diagnosed with OM.
- The patient experienced recurrent episodes consistent with ophthalmoplegic migraine.
Findings:
- The adolescent patient with OM demonstrated a dramatic positive response to steroid therapy.
- This suggests a potential therapeutic benefit of corticosteroids in managing OM.
Implications:
- The findings suggest that OM may be effectively managed with immunosuppressive therapy, such as corticosteroids.
- This case highlights the importance of considering OM as a treatable neuropathy and exploring steroid efficacy.
- Further research into the pathophysiology and treatment of OM is warranted.
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