Three Cases of Ophthalomplegic Migraine.

Choi, Jeong Hoon; Lee, Ju Yeon; Kim, Yun Jeong

doi:2010.51.2.307

J Korean Ophthalmol Soc > Volume 51(2); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(2):307-311.
DOI: https://doi.org/10.3341/jkos.2010.51.2.307 Published online February 15, 2010.

Three Cases of Ophthalomplegic Migraine.

Jeong Hoon Choi, Ju Yeon Lee, Yun Jeong Kim

Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea. bonamd@paran.com

눈근육마비편두통 3예

최정훈ㆍ이주연ㆍ김윤정

Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea

Abstract

PURPOSE
To report three cases of ophthalmoplegic migraine which is a rare condition characterized by the association of headaches with an oculomotor nerve palsy. CASE SUMMARY: A 44-year-old male and two eight-year-old females were presented with diplopia developed after headaches. All of the three patients showed abnormal eye movement and they had past episodes of transient diplopia with headaches. Visual evoked potential (VEP), cerebrospinal fluid (CSF) examination, laboratory findings, and other neurologic tests were all normal, also there was no tumor or cerebrovascular disease on brain MRA & MRI. The symptoms of all patients improved gradually within several weeks from first the visit, with complete recovery seen in all three. CONCLUSIONS: Any patient who has a headache with paresis of the extraocular muscle should be considered for ophthalmoplegic migraine. To diagnose ophthalmoplegic migraine, family history, past medical history, associated symptoms and signs, neurologic examinations and neuroimaging tests are needed.

Key Words: Headache;Transient diplopia;Ophthalomplegic Migraine