Role of Neurovascular Compression of Oculomotor Nerve in Ophthalmoplegic Migraine.
migraine
oculomotor nerve palsy
ophthalmoplegic migraine
recurrent painful ophthalmoplegic neuropathy
third nerve palsy
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
accepted:
07
03
2022
entrez:
11
4
2022
pubmed:
12
4
2022
medline:
12
4
2022
Statut:
epublish
Résumé
Ophthalmoplegic migraine is considered to occur more commonly in children than in adults. It commonly affects the oculomotor nerve among the cranial nerves. Demyelination of the nerve is proposed as the main mechanism for the etiology of ophthalmoplegic migraine, though it is not fully understood. Neurovascular compression as a cause of ophthalmoplegic migraine has not been well demonstrated in children. In this report, we present a case of a 13-year-old male with recurrent episodes of left ophthalmoplegic migraine. Oculomotor nerve enhancement with swelling was evident on MRI at the exit zone. Magnetic resonance angiography (MRA) revealed a sharp loop of the left posterior cerebral artery compressing the nerve. The case highlighted the unusual etiology of neurovascular compression resulting in ophthalmoplegic migraine in a pediatric patient. A supplemental case of ophthalmoplegic migraine in a seven-year-old male is also shown to highlight the role of neurovascular compression and the importance of using MR angiography to evaluate cases presenting clinically with ophthalmoplegic migraine.
Identifiants
pubmed: 35399433
doi: 10.7759/cureus.22919
pmc: PMC8985736
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e22919Informations de copyright
Copyright © 2022, Bui et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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