Venous Angioma Associated With Atypical Ophthalmoplegic Migraine

Abstract

This case reveals the importance of differential diagnosis in atypical migraine in which the symptomatology could be secondary to intracranial lesions. We propose venous stasis as a cause of symptoms.

Cerebral developmental venous anomalies: Current concepts

“…Symptomatic hematomas and cerebral edema warrant decompression craniectomy taking particular care to preserve the drainage of the DVA during clot aspiration. Anecdotal publications have reported the association of DVAs with choreoballismus,54 obstructive hydrocephalus through compression of the cerebral aqueduct by the DVA,55 ophthalmoplegic migraine,56 or nerve root compression 57, 58. In contrast to initial beliefs, there seems to be no demonstrable relation between uncomplicated DVAs and epilepsy or headaches 59–61…”

Oculomotor nerve tumors masquerading as recurrent painful ophthalmoplegic neuropathy: Report of two cases and review of the literature

“…Thus the incomplete recovery of ophthalmoplegia in our patients appears strongly related to the persistently enhancing nodules in the oculomotor nerve, which were diagnosed as schwannoma radiologically. Indeed, there have been several reports on various tumors involving the oculomotor nerves that masqueraded as RPON (7)(8)(9)(10)(11)16).…”

“…In RPON, enhancement of the ocular motor cranial nerves could be seen in the cisternal segment during the acute phase, and the enhancement usually resolves within 12 weeks after recovery from the symptoms (4–6). However, patients with the features of RPON may show persistent enhancement of the ocular motor nerves even after resolution of the symptoms, and have been found to have tumors (7–11). We report two patients whose MRI findings are compatible with an oculomotor nerve schwannoma who initially presented with RPON, and reviewed the literature on ocular motor cranial nerve tumors that masqueraded as RPON.…”

Cerebral Vascular Malformations and Headache

“…12 A longitudinal study by Naff et al showed that of 60 patients with DVAs, the prevalence of headache decreased from 53% (32/60) to 38% (23/60) over the mean follow-up of 4.2 years. [20][21][22] DVAs and seizures.-It is also debated whether or not isolated, uncomplicated DVAs predispose patients to developing seizures. Finally, there are cases of DVAs mimicking ophthalmoplegic migraine and migraine with ataxia, as well as DVAs causing trigeminal neuralgia.…”

“…Finally, there are cases of DVAs mimicking ophthalmoplegic migraine and migraine with ataxia, as well as DVAs causing trigeminal neuralgia. [20][21][22] DVAs and seizures.-It is also debated whether or not isolated, uncomplicated DVAs predispose patients to developing seizures. In the Naff et al study, the seizure prevalence decreased with the length of follow-up time (from 32% at baseline to 20% at follow-up).…”