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Ophthalmoplegic migraine: Migraine or oculomotor neuropathy?
MedLine Citation:
PMID:  23150890     Owner:  NLM     Status:  Publisher    
Background Ophthalmoplegic migraine (OM) is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. The third cranial nerve is commonly involved in recurrent attacks, whereas involvement of the sixth and fourth nerves is uncommon. It is still debated whether an uncontrolled migraine or an oculomotor neuropathy may be the primary cause of ophthalmoplegic migraine. Cases We report two patients affected by OM with normal magnetic resonance imaging findings and a history of uncontrolled migraine before an attack of OM. Conclusion The cases reported allow us to hypothesize that OM may be considered a form of migraine rather than a cranial neuralgia. It is possible that different factors such as inflammatory or structural factors, may represent a vulnerability of the nerve during a severe migraine attack causing ophthalmoplegia.
Lucia Margari; Anna R Legrottaglie; Francesco Craig; Maria G Petruzzelli; Ugo Procoli; Franca Dicuonzo
Publication Detail:
Journal Detail:
Title:  Cephalalgia : an international journal of headache     Volume:  32     ISSN:  1468-2982     ISO Abbreviation:  Cephalalgia     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200710     Medline TA:  Cephalalgia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1208-1215     Citation Subset:  -    
Child Neuropsychiatry Unit, Department of Neuroscience and Sense Organs, University of "Aldo Moro" Bari, Italy.
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