A Case of Ophthalmoplegic Migraine with Gadolinium 
Enhancement of the Oculomotor Nerve on MR Imaging

J Korean Neurol Assoc > Volume 17(1); 1999 > Article

Journal of the Korean Neurological Association 1999;17(1): 168-172.

뇌자기공명영상에서 동안신경 기시부에 조영증강 소견을 보인 안근마비성 편두통 1례

김태유, 최낙천, 권오영, 윤혜정, 곽준혁, 전성철, 임병훈

경상대학교 의과대학 신경과학교실, 경상대학교 신경과학연구소

A Case of Ophthalmoplegic Migraine with Gadolinium Enhancement of the Oculomotor Nerve on MR Imaging

Tae-You Kim, Nack-Cheon Choi, Oh-Young Kwon, Hae-Jeong Yun, Jun-Hyeok Kwak, Sung-Chul Jeon, Byeong Hoon Lim.

Department of Neurology, Gyeongsang National University College of Medicine Gyeongsang Institute for Neurosciences, 92 Chilam-dong Chinju 660-702 Republic of Korea

Abstract

The typical manifestation of repeated migraine headache followed by ophthalmoplegia can be diagnosed as a ophthalmoplegic migraine. The diagnosis requires exclusion of other causes. MRI was useful in excluding other causes of ophthalmoplegia with headache and there is few abnormal findings on MRI in ophthalmoplegic migraine patients. A 55-year-old man with a familial and personal history of migraine was admitted due to left ptosis and diplopia followed by insidiously developed headache. The migraine headache and ophthalmoplegia were improved spontaneously within 3 days and within 4 weeks, respectively. MRI demonstrated gadolinium enhancement on the cisternal portion of left oculomotor nerve. Key words : Ophthalmoplegic migraine, MRI, Oculomotor nerve enhancement