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Ophthalmoplegic Migraine

more about Ophthalmoplegic Migraine

  • This is a rare variety of Migraine Headache often involving symptoms associated with the paresis of the third, fourth and sixth cranial nerves.  In a majority of the cases, this condition occurs in childhood, with cases ranging from infants to adolescents.  The third cranial nerve is the one affected most.
  • A unilateral (may be alternating or bilateral in some) headache may last for hours or days, and the child may have dilation of the pupils (mydriasis), coupled with the inability to move the eye upward, downward, or medially, as well as a drooping (ptosis) of the upper eyelid.
  • The symptoms often follow the headache, but they may also precede it.  Recovery occurs in 4-6 weeks; however, there may be incomplete recovery after multiple attacks.  The cause is unknown, and other disorders (e.g., tumors, aneurysms, diabetes, Glaucoma, vascular anomalies, and neuromuscular disorders) must be ruled out using tests such as MRI (shows structure) or MRA (shows circulation) of the brain.  Treatment is often similar to ordinary migraine treatment using various medications (e.g., Calcium channel blockers, beta blockers, etc.)

more about Ophthalmoplegic Migraine

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