Migraine Secondary to Superior Oblique Myokymia

Maggioni, Ferdinando; Mainardi, Federico; Dainese, Filippo; Lisotto, Carlo; Zanchin, Giorgio

doi:10.1111/j.1468-2982.2007.01422.x

Cited by 9 publications

(8 citation statements)

References 19 publications

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“…A cycle of repeated trauma to the supraorbital and supratrochlear nerve running proximal to the trochlea leads to nociception perceived in the periorbital or frontal hemicranial distribution. This hypothesis is supported by a case of a 27 year-old male with SO myokymia (SOM) (13) who subsequently developed trochleodynia. The authors believed that repeated SO contraction could have led to the cycle of trauma to the supraorbital and supratrochlear nerves.…”

Section: Introductionmentioning

confidence: 86%

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

2019

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Migraine and tension-type headaches (TTHs) comprise a significant burden of neurological disease globally. Trochleodynia, also known as primary trochlear headache or trochleitis, may go unrecognized and contribute to worsening of these headache disorders. It may also present in isolation. We review the English literature on this under-recognized condition and describe what is known about the theorized pathophysiology, clinical presentation, and differential diagnosis. We also present a management algorithm for patients presenting with trochleodynia.

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Section: Introductionmentioning

confidence: 86%

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

2019

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“…Effective treatment of SOM with Gabapentin has been reported before but vascular compression was not documented in those reports. [12][13][14][15] This is the first case report documenting successful treatment of SOM with Gabapentin in a patient with vascular compression on imaging. The exact mechanism of gabapentin on SOM is unclear and it is possible that neurotransmitter systems other than GABAergic ones may be involved.…”

Section: Discussionmentioning

confidence: 89%

Gabapentin and Superior Oblique Myokymia

Bek

Kaşikçi

Genç

et al. 2009

Neuro-Ophthalmology

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Superior oblique myokymia (SOM) is an uncommon disorder characterized by episodic monocular oscillopsia. Though the mechanism of SOM is not fully established, recent reports focus on the role of vascular compression. Several medications have been reported to be of benefit but a standard protocol for SOM has not been established. This case report documents a complete symptom relief in SOM with a documented vascular compression using gabapentin.

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“…Following exclusion of 53 items, 109 items comprising 504 cases were reviewed. A total of 53 items were labeled as “Cases—Structural” (70 individual case reports in total) 12–64 (Table ), 34 as “Cases—Nonstructural” (50 individual case reports in total) 65–98 (Table ), and 19 as “Groups” (384 cases in total) 99–117 (Table ). In addition, from two case series of three patients, 118,119 three cases were included in “Cases—Structural,” and three in “Cases—Other.” In one case, additional information was gathered from a previous report of the same case 38,120 …”

Section: Resultsmentioning

confidence: 99%

“…Six of the 53 reported cases of symptomatic MWoA fulfilled the ICHD criteria for MWoA. 73,78,119 Assumed underlying conditions were superior oblique myokymia (n = 1), aneurysm of the anterior communicating artery (n = 2), and Susac syndrome (n = 3). None of these cases fulfilled our working criteria for symptomatic migraine or possible symptomatic migraine.…”

Section: Cases-nonstructuralmentioning

confidence: 99%

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

et al. 2021

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Objective To determine if a clinical presentation indistinguishable from migraine can occur due to an underlying condition or pathology, that is, "symptomatic migraine." Background It is currently not clear whether migraine truly can be caused by an underlying condition or pathology. Characterization of the etiology and clinical features of possible symptomatic migraine is of significant clinical importance and further may help elucidate the pathophysiology of migraine. Methods We devised operational diagnostic criteria for “symptomatic migraine” and “possible symptomatic migraine” requiring strong evidence for a causal relation between underlying cause and migraine symptoms adhering strictly to diagnostic criteria. PubMed was searched for case reports of symptomatic migraine from inception to March 2020. Only articles published in English or German were included. No restrictions were placed on study design. Relevant references in the articles were also included. Papers were systematically reviewed by two independent reviewers for detailed clinical features of migraine as well as the proposed underlying conditions and the effects of treatment of these conditions. Results Our search retrieved 1726 items. After screening, 109 papers comprising 504 cases were reviewed in detail. Eleven patients with migraine with aura (MWA) fulfilled our working criteria for symptomatic migraine, and 39 patients fulfilled our criteria for possible symptomatic migraine. The most common etiologies of symptomatic migraine were arteriovenous malformations, carotid stenosis, dissection or aneurysm, brain infarctions, meningioma, and various intra‐axial tumors. Conclusions Symptomatic MWA, indistinguishable from idiopathic MWA, may occur due to cortical lesions or microembolization. We found no clear evidence supporting the existence of symptomatic migraine without aura although we did identify possible cases. Our findings are limited by the available literature, and we suggest that prospective studies are needed.

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Migraine Secondary to Superior Oblique Myokymia

Cited by 9 publications

References 19 publications

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

Gabapentin and Superior Oblique Myokymia

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

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