medigraphic.com
ISSN 0028-3851 (Print)

2006, Number 1

<< Back Next >>

Rev Neurol Neurocir Psiquiat 2006; 39 (1)

Ophthalmoplegic migraine: report of two cases

Andrade FAS, Amado NI, Menezes NPM, Haun SAJ, Machado PCT, Pinheiro JNF, Silva VM

Language: English
References: 10
Page: 40-43
PDF size: 190.71 Kb.


ABSTRACT

Ophthalmoplegic migraine is a rare pathology, characterized by headache associated to paresis or palsy of the oculomotors nerves (oculomotor, trochlear and abducent). The diagnosis can be made after investigations of all demonstrated intracranial lesions. In this article, two cases of patients with headache and complete ophthalmoplegia are reported. The study of the cranium computed tomography, the digital cerebral angiography and the cerebrospinal liquid analysis were normal. Probable ethiologies for this enfermity are discussed, since vascular compression of the vasa nervorum until dilation and hyperpulsation of the cranium’s basis arteries. The differential diagnosis and the treatment proposed for this pathology are emphasized.


REFERENCES

  1. Spierings LH. Management of migraine. Newton: Butterworth-Heinemann; 1996, p. 3-5

  2. Comitê de Classificação das Cefaléias. International Headache Society. Classifição e Diagnósticos das Cefaléias, Neuralgias Cranianas e Dor Facial/Tradução de Carlos Alberto Bordini, et al.; coordenação Yara Dadalti Fragoso. São Paulo: PMK Cnsultoria e Marketing; 1999.

  3. Farias-da-Silva W, Cruz IS, Costa J, Albuquerque H, Medeiros FL. Migrânea oftalmoplégica: revisão e apresentação de um caso. Neurobiologia 2001; 64: 39-40.

  4. Foix CH. Syndrome de la paroi externe du sinus caverneux. A méloration considerable par lê traitement radiothérapique. Ver Neurol (Paris) 1922; 38: 827.

  5. Lance JW, Goadsby PJ. Mechanism and Management of Headache. 6ª Ed. Oxford: Butterworth-Heinemann; 1999, p. 47

  6. Walsh JP, O’Doherty DS. A possible explanation of the mechanism of ophthalmoplegic migraine. Neurology 1960; 10: 1079-84.

  7. Vijayan N. Ophthalmoplegic migraine: ischaemic or compression neuropathy? Headache 1980; 20: 300-4.

  8. Heych H. Cefalalgias. Diagnóstico diferencial y tratamiento para el médico práctico. 1ª Ed. Barcelona: Salvat; 1965, p. 246

  9. Tolosa E. Periarteritic lesions of the carotid siphon with clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatr 1954; 17: 300.

  10. Hunt WE, Meagher JA, Lefever HE et al. Painful ophthalmoplegia. Its relation to indolent inflammation of the cavernous sinus. Neurology 1961; 11: 56.




2020     |     www.medigraphic.com