Ophthalmoplegic migraine: From questions to answers

Abstract

OM is the same disease in adulthood and childhood, even if in adults the MR imaging findings are negative. In the authors' opinion, OM should be classified as migraine.

Spectrum of migraine variants and beyond: The individual syndromes in children

“…Postulated mechanisms include edema of the internal carotid artery within the cavernous sinus, edema of distal basilar artery, and ischemia or compression of the third nerve [63] or of recurrent demyelinating cranial neuropathy.…”

Complicated Migraine

“…Most reported cases fully resolve in days to months, although there are case reports of longer lasting symptoms following multiple attacks. 36 OM creates much conflict in the literature. A recent review 37 found that in up to one-third of cases the associated head pain was not migrainous in quality and neither were there associated migrainous symptoms, such as nausea or vomiting.…”

“…The childhood variant, however, may be a cranial neuropathy. Ambrosetta and colleagues 36 hypothesized that these attacks in adults and children are the same disorder. They believed OM is migrainous and caused by ischemic reversible breakdown of the bloodÀnerve barrier due to vasospasm during the attack.…”

An analysis of 2800 CT Head scans in patients with chronic headache

“…Chronic tension headache and Migraine are the most common causes of headache noted in population-based survey on the prevalence of headache in the state of Karnataka [2]. Besides these common causes there are other causes for headache like trauma, infection, tumor, vascular, alcohol or drug abuse or may be related to ophthalmoplegic migraine [3].…”