Magnetic resonance appearance of recurrent ophthalmoplegic migraine

Rocha, Antônio José da; Breinis, Paulo; Monteiro, Mário Luiz Ribeiro

doi:10.1590/s0004-282x2012000100018

Cited by 6 publications

(2 citation statements)

References 2 publications

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“…As shown in Table 1, the demographic and medical characteristics of the cases in our clinic along with the reported cases from other studies that were diagnosed as OM or RPON from 2000 to 2020 were reviewed (4–6,9–15,19–59). From the database, most reported cases were from the USA, India, Japan, and European countries (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Previous literature has shown that the commonly involved ocular nerves in this condition are the oculomotor, abducens, and trochlear nerve. Also, it was observed that paralysis of these nerves could go on for several days to weeks, but the symptoms of headache and muscular dysfunction usually completely recover with or without any special treatment (2,6,10). The neuroimaging tests, namely computed tomography (CT) and magnetic resonance imaging (MRI) of the brain and especially Gd-enhancement MRI scan, have found thickening and/or enhancement of these nerve (s) (11,12) in RPON.…”

Section: Introductionmentioning

confidence: 99%

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Proposed modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy: Five case reports and literature review

et al. 2020

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Background Recurrent painful ophthalmoplegic neuropathy (RPON) is an uncommon disorder characterized by recurrent unilateral headache attacks associated with ipsilateral ophthalmoplegia. We intend to study the clinical picture in our case series along with the published literature to discuss the pathogenesis and propose modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy. Methods We reported five cases diagnosed as ophthalmoplegic migraine/RPON in our medical centers and reviewed the published literature related to RPON from the Pubmed database between 2000 and 2020. In one of these cases, a multiplanar reformation was performed to look at the aberrant cranial nerve. Results The mean onset age for RPON was 22.1 years, and the oculomotor nerve was the most commonly involved cranial nerve (53.9%) in 165 reviewed patients. In most patients, ophthalmoplegia started within 1 week of the headache attack (95.7%, 67/70). Additionally, 27.6% (40/145) of patients presented enhancement of the involved nerve(s) from MRI tests. Finally, 78 patients received corticosteroids, out of which 96.2% benefited from them. Conclusion This is the first time multiplanar reformation has been performed to reveal the distortion of the oculomotor nerve. Modified diagnostic criteria are proposed. We hope to expand the current knowledge and increase the detection of recurrent painful ophthalmoplegic neuropathy in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Proposed modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy: Five case reports and literature review

et al. 2020

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Relapsing Painful Ophthalmoplegic Neuropathy: No longer a “Migraine,” but Still a Headache

Smith

Schuster

2018

Curr Pain Headache Rep

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The literature is limited due to the rarity of the disorder. Recent case reports and series continue to suggest the age of first attack is most often during childhood or adolescence as well as a female predominance. Multiple recent case reports and series demonstrate focal enhancement of the affected cranial nerve, as the nerve root exits the brainstem. This finding contributed to the current classification of the disorder as a neuropathy, with the present understanding that it is due to a relapsing-remitting inflammatory or demyelinating process. The link to migraine remains a cause of disagreement in the literature. RPON is a complex disorder with features of inflammatory neuropathy and an unclear association with migraine. Regardless, the overall prognosis is good for individual episodes, but permanent nerve damage may accumulate with repeated attacks. A better understanding of the pathogenesis is needed to clarify whether it truly represents a single disorder and to guide its treatment. Until that time, a combined approach with acute and preventive therapies can mitigate acute symptoms as well as attempt to limit recurrence of this disabling syndrome.

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Recurrent Painful Ophthalmoplegic Neuropathy with Unilateral Oculomotor and Trochlear Nerve Palsy in an 8-year-old Girl

Akhondian,

Ashrafzadeh,

Seilanian Toosi

et al. 2022

Journal of Binocular Vision and Ocular Motility

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Magnetic resonance appearance of recurrent ophthalmoplegic migraine

Cited by 6 publications

References 2 publications

Proposed modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy: Five case reports and literature review

Proposed modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy: Five case reports and literature review

Relapsing Painful Ophthalmoplegic Neuropathy: No longer a “Migraine,” but Still a Headache

Recurrent Painful Ophthalmoplegic Neuropathy with Unilateral Oculomotor and Trochlear Nerve Palsy in an 8-year-old Girl

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