Ophthalmoplegia starting with a headache circumscribed in a line-shaped area: a subtype of ophthalmoplegic migraine?

The Journal of Headache and Pain

Case Report

Ya-Nan Lu¹  Miao-Miao Tian¹  Xian-Hong Wang¹  Yu Wang¹  Cheng-Juan Xie¹  Ying Liu¹  Qing-Qing Pan¹ 

[1] Department of Neurology, Epilepsy and Headache group, the First Hospital of Anhui Medical University, Jixi Road 218, 230022, Hefei, China;

关键词: Recurrent painful ophthalmoplegic neuropathy;    Ophthalmoplegic migraine;    Migraine;    Epicrania fugax;    Neuralgia;   

DOI  :  10.1186/1129-2377-15-19

 received in 2014-02-19, accepted in 2014-03-28,  发布年份 2014

来源: Springer

【 摘 要 】

Recurrent painful ophthalmoplegic neuropathy (RPON), formerly named ophthalmoplegic migraine (OM), is a rare condition characterized by the association of unilateral headaches and the ipsilateral oculomotor nerve palsy. The third cranial nerve is most commonly involved in the recurrent attacks. But it is still debated whether a migraine or an oculomotor neuropathy may be the primary cause of this disorder. Here, we report an elder patient who had a recurrent ophthalmoplegia starting with an unilateral headache circumscribed in an area shaped in a line linking the posterior-parietal region and the ipsilateral eye. And the headache had couple of features similar to that of migraine, such as past history of recurrent migraine attacks, accompaniments of nausea, vomiting, and phonophobia, response to flunarizine and sodium valproate. We may herein report a subtype of OM but not a RPON. This case report indicates that OM may exist as an entity and some OM may be wrongly grouped under the category of RPON in the current international headache classification.

【 授权许可】

CC BY   
© Wang et al.; licensee Springer. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.