Ophthalmoplegic Migraine -A Case Report-

J Korean Neurol Assoc > Volume 8(1); 1990 > Article

Journal of the Korean Neurological Association 1990;8(1): 175-179.

안근마비성 편두통 1예

김영인, 강민수,안재훈,이광수,김범생,유고명

가톨릭 의과대학 신경과.

Ophthalmoplegic Migraine -A Case Report-

Yeong In Kim, M.D., Min Soo Kang, M.D., Jae Hoon Ahn, M.D., Kwang Soo Lee, M.D., Beun Saeng Kim, M.D., Ko Myong Lieu, M.D.,

Department of Neurology, Catholic University Medical College, Seoul, Korea

Abstract

The painful ophthalmoplegia may be caused by various diseases such as tuberculous meningitis, brain tumor, diabetes mellitus, aneurysm of internal carotid artery, nasopharyngeal tumor, temporal arteritis, Tolosa-Hunt syndrome, exophthalmic ophthalmoplegia, ophthalmoplegic migraine and pseudotumor of orbit. Ophthalmoplegic migraine can be diagnosed by the symptom of typical migraine followed by ophthalmoplegia but sbould be a diagnosls of exclusion. The present report describes a case of ophthalmoplegic migraine, a 9 year-old girl with migrainous headache followed by right orbital pain and oculomotor nerve palsy The patient responded well to propranolol. Literatures are briefly reviewed.