Ophtalmoplégie douloureuse récidivante : migraine ophtalmoplégique ou schwannome du nerf oculomoteur ?

Riahi, A.; Youssef–Turki, Ilhem Ben; Walha, Kamel; Kraoua, Ichraf; Benrhouma, H.; Klaa, Hédia; Rouissi, Aida

doi:10.1016/j.praneu.2014.07.003

Cited by 1 publication

(1 citation statement)

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“…Riahi et al in 2014 published the case of a 12-year-old girl who presented three episodes of left eye painful ophthalmoplegia during a period of 3 years. Two previous brain MRIs produced normal image scans, while the brain MRI made after the third episode showed a mass of tissue in the cavernous sinus suggesting a third nerve schwannoma [42]. Jibia et al in 2015 published the case of a 13-year-old girl with a previous medical history of migraine since she was 6 years old.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review

Petruzzelli

Margari

Furente

et al. 2019

Pain Research and Management

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Background Recurrent painful ophthalmoplegic neuropathy (RPON), previously known as ophthalmoplegic migraine (OM), is an uncommon disorder with repeated episodes of ocular cranial nerve neuropathy associated with ipsilateral headache. The age of presentation is most often during childhood or adolescence. MRI has a central role in the assessment of the RPON, especially to distinguish orbital, parasellar, or posterior fossa lesions that mimic symptoms of RPON. Actually, oculomotor nerve tumors may be masquerade as RPON so that MRI follow-ups are required to detect the possibility of tumor etiology. Case presentation We report a 16-year-old boy with a 7-year follow-up and multiple brain MRI data, previously diagnosed as OM. The last brain MRI, performed during an acute phase of oculomotor paresis with ipsilateral headache, showed a nodular lesion described as schwannoma of III cranial nerve. Then, we reviewed the literature on OM and RPON in pediatric age with a focus on brain MRI findings. Conclusions This review highlights the important role of serial brain MRIs in the long-term follow-up of RPON, especially in the cases with childhood onset, in order to not delay the diagnosis of a possible oculomotor nerve schwannoma.

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Section: Discussionmentioning

confidence: 99%