Ophthalmoplegic migraine means
1. When headache is followed by complete paralysis of the IIIrd and VI nerve on the same side as the hemicrania.
2. When the headache is followed by partial paralysis of the IIIrd nerve on the same side as the hemicrania with out any scotoma.
3. Headache associated with IIIrd, IVth and VIth nerve paralysis.
4. Headache associated with optic neuritis
Ans 3.
In Ophthalmoplegic Migraine headache occurs in conjunction with diplopia. As the intensity of an ipsilateral severe headache subsides after a day or more, paresis of 1 or more of cranial nerves III, IV, and VI occurs. The third cranial nerve is affected in about 80% of cases, initially with ptosis and then oculomotor paresis, which is usually complete but may be partialq. This is usually transient; but may outlast pain for a few weeks. Other symptoms are vomiting, nausea. CMDT also says that ophthalmic division of V CN may be affected. MYDRIASIS may occur in 50% cases.
Important about Ophthalmoplegic Migraine: In ADULTS if it occurs always consider the possibility of aneurysms.(these are very rare in childhood). Exclude Other D/D by imaging including--
Tolosa-Hunt syndrome q (granulomatous inflammation in the cavernous sinus), orbital pseudotumor (an idiopathic infiltration of orbital structures with chronic inflammatory cells), Diabetic
1. When headache is followed by complete paralysis of the IIIrd and VI nerve on the same side as the hemicrania.
2. When the headache is followed by partial paralysis of the IIIrd nerve on the same side as the hemicrania with out any scotoma.
3. Headache associated with IIIrd, IVth and VIth nerve paralysis.
4. Headache associated with optic neuritis
Ans 3.
In Ophthalmoplegic Migraine headache occurs in conjunction with diplopia. As the intensity of an ipsilateral severe headache subsides after a day or more, paresis of 1 or more of cranial nerves III, IV, and VI occurs. The third cranial nerve is affected in about 80% of cases, initially with ptosis and then oculomotor paresis, which is usually complete but may be partialq. This is usually transient; but may outlast pain for a few weeks. Other symptoms are vomiting, nausea. CMDT also says that ophthalmic division of V CN may be affected. MYDRIASIS may occur in 50% cases.
Important about Ophthalmoplegic Migraine: In ADULTS if it occurs always consider the possibility of aneurysms.(these are very rare in childhood). Exclude Other D/D by imaging including--
Tolosa-Hunt syndrome q (granulomatous inflammation in the cavernous sinus), orbital pseudotumor (an idiopathic infiltration of orbital structures with chronic inflammatory cells), Diabetic
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