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Updated: May 7, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

A case of ophthalmoplegic migraine: some observations

S Patro1, T Banerjee

  • 1Kolkata Institute of Neurosciences; Kolkata, India - drsatyanpatro@gmail.com.

The Neuroradiology Journal
|September 25, 2013
PubMed

Insights

Ophthalmoplegic migraine (OM) is a rare disorder characterized by recurrent episodes of headache and temporary paralysis of eye muscles. This case highlights a rare adult presentation of OM with characteristic MRI findings and successful management with migraine prophylaxis.

Area of Science:

  • Neurology
  • Neuro-ophthalmology
  • Radiology

Background:

  • Ophthalmoplegic migraine (OM) is a rare neurological disorder characterized by recurrent episodes of headache associated with ophthalmoplegia.
  • While typically seen in children, adult-onset OM presents unique diagnostic challenges.

Purpose of the Study:

  • To describe a rare case of adult-onset ophthalmoplegic migraine.
  • To illustrate the characteristic neuroimaging findings of OM.
  • To discuss the differential diagnosis for this condition.

Main Methods:

  • Case report of a 43-year-old male with chronic headache and ophthalmoplegia.
  • Brain MRI with contrast to evaluate the lesion.
  • Clinical follow-up and response to prophylactic anti-migraine medication.

Main Results:

  • Brain MRI revealed a nodular enhancing lesion at the root exit zone of the left oculomotor nerve.
  • The patient experienced partial symptom resolution with prophylactic anti-migraine treatment.
  • Diagnosis of ophthalmoplegic migraine was confirmed.

Conclusions:

  • Ophthalmoplegic migraine can occur in adults, presenting with distinct imaging features.
  • Prophylactic anti-migraine medications can be effective in managing adult OM.
  • Characteristic MRI findings aid in differentiating OM from other causes of headache and ophthalmoplegia.

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