Ophthalmoplegic migraine: diagnostic criteria, incidence of hospitalization and possible etiology

Abstract

Charts from patients admitted from April 1976 to March 1986 to the departments of neurology, neurosurgery, ophthalmology and pediatrics serving a population of 615,000 inhabitants in Copenhagen County were surveyed. We then examined patients with coexisting headache and ophthalmoplegia at follow‐up. Many diseases may mimic a single attack of ophthalmoplegic migraine. We found 4 cases of ophthalmoplegic migraine, i.e. an annual incidence of 0.7 per million inhabitants. We added another 4 cases from the same area, but diagnosed before or after the study period. Only in 2 of the 8 cases did the ophthalmoplegic episodes fulfil criteria for pain and associated symptoms required for migraine without aura (common migraine). In contrast, the clinical characteristics of the attacks are typical of the Tolosa‐Hunt syndrome. When this inflammatory disease strikes a migraineur it is likely to elicit headache with migrainous features. We postulate that such cases have been diagnosed as ophthalmoplegic migraine, whereas the proper diagnosis of Tolosa‐Hunt syndrome has been made in non‐migraineurs.

Ophthalmoplegic migraine in a 15-year-old Ethiopian: case report and literature review

“…The prevalence is estimated to be 0.7 per million [5–7]. Hansen et al [5] reviewed the charts of patients admitted from April 1976 to March 1986 to the departments of neurology, neurosurgery, ophthalmology and pediatrics, serving a population of 615,000 inhabitants in Copenhagen County. They then examined patients with coexisting headache and ophthalmoplegia at follow-up.…”

Ophthalmoplegic migraine with a rise in cytomegalovirus‐specific IgG antibody

“…Ophthalmoplegic migraine is a very rare condition, previously thought to represent a variant of migraine, but the headaches in ophthalmoplegic migraine often do not fulfi ll formal migraine criteria. 5 Mark et al reported a patient with ophthalmoplegic migraine in whom enhancement of the cisternal segment of the oculomotor nerve was seen on contrast-enhanced MRI. 6 They have suggested that the presence of oculomotor changes on MRI should be required for the diagnosis.…”

A Clinical Study on the Case of Ophthalmoplegic Migraine Treated with Electroacupuncture

“…안근 마비성 편두통의 발생률은 정확히 알려져 있지 않지만, Hansen은 매년 백만명 당 0.7명 정도로 추정하고 있으며 편두통과는 달리 남성에 더 호 발 한다고 보고하였다 2,14) . 안근마비성 편두통의 발생 기전은 정확하게 밝혀지지 않았으며 신경 학적 검사나 영상검사를 통해 다른 기질적인 질 환을 배제한 후에 진단할 수 있다 2,12,20) .…”

“…안근 마비성 편두통은 모든 연령에서 발생할 수 있지 만 주로 10세 이전에 발생하고 성인이 된 이후 에 발병하는 일은 드물다 12,13,25) . 주로 3번 뇌신경 마비를 가장 많이 동반하게 되고 4번 뇌신경이 나 6번 뇌신경도 침범될 수 있다고 알려져 있다 2,12,14,15,25) . …”