An Adolescent Boy with Steroid-responsive Ophthalmoplegic Migraine: A New Case and Systematic Review

Abstract

Ophthalmoplegic migraine (OM) is defined as recurrent attacks of headaches with migrainous characteristics, associated with the paresis of one or more ocular cranial nerves and with the absence of any demonstrable intracranial lesion, other than magnetic resonance imaging changes within the affected nerve. In OMs, the most common involvement is seen in the oculomotor nerves. The clinical features of OM including onset in the childhood period, headaches preceding and ipsilateral to the third nerve paresis, dilated pupil and/or ophthalmoplegia. Here, we report on an adolescent boy with OM, treated with steroid and showing a dramatic improvement. It is believed that this case report can add to the understanding and treatment options of OMs.

Keywords

• Cranial nerve palsy
• headache
• migraine
• ophthalmoplegy