Transient oculomotor synkinesis in a case of ophthalmoplegic migraine

Ramakrishnan, Sivasubramanian; Kallollimath, Pradeep; Kulkarni, Girish Baburao; Mustare, Veerendrakumar

doi:10.4103/0028-3886.166537

Cited by 5 publications

(2 citation statements)

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“…In addition, in the aforementioned study, the entire wrist bones were mobilized, which had led to reduced pressure on the median nerve and therefore, reduction of the edema in the nerve space. This is while in the present study, the mobilization was performed more locally on the hamate and scaphoid bones, which lead to direct reduction of pressure in the carpal tunnel and increased blood supply, which may be the reason why this method has seen a meaningful difference in pain and symptom reduction ( 31 - 33 ).…”

Section: Discussionmentioning

confidence: 81%

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

et al. 2017

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BackgroundThis study was to evaluate the effect of hamate and scaphoid bone mobilization alongside splinting in women with carpal tunnel syndrome.MethodsIn this randomized clinical trial, 40 participants were randomly assigned into 2 groups. The intervention group received splinting with scaphoid and hamate mobilization, while the control group received splinting only. Outcome variables were pain (based on visual analogue scale), symptom severity and functional status (based on Boston questionnaire), and nerve conduction study measured before and 10 weeks after the treatments.ResultsAt the end of study, both groups showed an improvement in pain and symptom severity, functional status as well as median nerve conduction study. Although there was no statistically significant difference between groups regarding changes in median nerve sensory and motor distal latencies; the improvement was significantly higher in pain and symptom severity as well as functional status in mobilization group (P-Value < 0.05).ConclusionsHamate and scaphoid mobilization can be used as an effective option in women with mild to moderate carpal tunnel syndrome. Further investigation is required for determining long-term effects and cost-effectiveness of mobilization in carpal tunnel syndrome.

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Section: Discussionmentioning

confidence: 81%

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

et al. 2017

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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%

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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Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome

Harris

Breazzano

Shyu

et al. 2019

Neuro-Ophthalmology

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Transient oculomotor synkinesis in a case of ophthalmoplegic migraine

Cited by 5 publications

References 0 publications

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

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

Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome

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