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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797

Abstract

BALTAR YANES, Federico; MEDICI, Conrado; TURCATTI, Emilio  and  GONZALEZ, Gabriel. Ophthalmoplegic recurrent painful neuropathy (ophthalmoplegic migraine): Case report. Rev. Urug. Med. Int. [online]. 2016, vol.1, n.2, pp.65-69. ISSN 2393-6797.

Recurrent painful ophtalmoplegic neuropathy or ophthalmoplegic migrane is a rare type of primary headache. It is characterized as at least two episodes of unilateral headaches accompanied by ipsilateral paresis of one, two or the three ocular motor nerves. Orbital, parasellar and posterior fossa lessions must be excluded, and it is not better accounted by other diagnosis. We report clinical, imaging and laboratory tests of a three years old boy who developed three episodes of left eye ptosis with divergent strabismus and downgaze deviation of left eye, preceded by headache, irritability, vomiting and sleepiness. Ophtalmoparesis episodes lasted up to 10 days. Laboratory tests were normal. Magnetic resonance showed gadolinium enhancement of the third cranial nerve during one attack. We highlight the need to consider ophtalmoplegicmigrane in all cases of recurrent oculomotor palsy, and the importance of themagnetic resonance imaging, not just to rule out other possible etiologies, but also as a confirmative test. This case showed improvement of clinical signs after steroid therapy.

Keywords : Headache; Ophthalmoplegic migraine; Magnetic resonance.

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