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[Unilateral benign episodic mydriasis]

R Manai1, S Timsit, G Rancurel

  • 1Urgences Cérébro-Vasculaires, Hôpital de la Salpêtrière, Paris.

Revue Neurologique
|May 1, 1995
PubMed
Summary
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Ophthalmoplegic migraine, a rare condition, involves the third cranial nerve. This study suggests a link between isolated, remitting, unilateral mydriasis and migrainous manifestations.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Neurology

Background:

  • Ophthalmoplegic migraine is a rare neurological disorder.
  • It involves cranial nerve palsies, often affecting the third nerve.

Observation:

  • This study presents two cases of isolated, unilateral, and remitting mydriasis.
  • Twenty-three previously published cases with similar presentations are also reviewed.

Findings:

  • In all reported cases, imaging studies including CT scans, MRIs, and angiograms were consistently normal.
  • The pathophysiology is hypothesized to be a migrainous phenomenon affecting third nerve fibers.

Implications:

  • This research contributes to understanding rare migraine variants.

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  • It highlights the importance of considering migrainous causes for isolated third nerve palsies, particularly mydriasis.