Brief Communication: Venous Angioma Associated With Atypical Ophthalmoplegic Migraine

Background.-Ophthalmoplegic migraine is a rare syndrome in which episodic headaches are associated with ophthalmoplegia. Several recent reports emphasize the possibility, especially in atypical cases, of a heterogeneous type of ophthalmoplegic migraine. Methods.-We describe the case of an 18-year-ol...

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Published inHeadache Vol. 44; no. 5; pp. 440 - 442
Main Authors Berbel-Garcia, A, Martinez-Salio, A, Porta-Etessam, J, Saiz-Diaz, R, Gonzalez-Leon, P, Ramos, A, Campollo, J
Format Journal Article
LanguageEnglish
Published 01.05.2004
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Summary:Background.-Ophthalmoplegic migraine is a rare syndrome in which episodic headaches are associated with ophthalmoplegia. Several recent reports emphasize the possibility, especially in atypical cases, of a heterogeneous type of ophthalmoplegic migraine. Methods.-We describe the case of an 18-year-old woman with recurrent episodic headache accompanied by binocular diplopia due to left third cranial nerve palsy. The symptoms resolve in hours. A diagnosis of atypical ophthalmoplegic migraine was established. Results.-Digital angiography revealed a venous angioma draining into the left cavernous sinus. Conclusions.-This case reveals the importance of differential diagnosis in atypical migraine in which the symptomatology could be secondary to intracranial lesions. We propose venous stasis as a cause of symptoms.
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ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2004.04097.x