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Journal articles on the topic 'Ophthalmoplegic migraine'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Lal, Vivek, and Louis Caplan. "Are some ophthalmoplegias migrainous in origin?" Neurology: Clinical Practice 9, no. 3 (2019): 256–62. http://dx.doi.org/10.1212/cpj.0000000000000653.

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The 3rd edition of the International Classification of Headache Disorders replaced the term ophthalmoplegic migraine (OM) with Recurrent Painful Ophthalmoplegic Neuropathy (RPON) based on the presence of contrast enhancement of the involved cranial nerves on Gadolinium-enhanced magnetic resonance imaging. We review our experience and publications concerning ophthalmoplegia, migraine, and RPON. Majority of cases of acute ophthalmoplegia are associated with severe migrainous headaches. A positive history of migraine, increased severity of migraine headaches before the onset of ophthalmoplegia, a

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2

Mahovic, Darija, and Matea Bracic. "Erenumab as treatment for recurrent painful ophthalmoplegic neuropathy." Progress in Neurology and Psychiatry 27, no. 4 (2023): 19–22. http://dx.doi.org/10.1002/pnp.810.

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Recurrent painful ophthalmoplegic neuropathy (RPON), formerly known as ophthalmoplegic migraine, is a rare condition characterised by recurrent attacks of unilateral headache with ipsilateral ophthalmoplegia. Although classified as a cranial neuralgia, the exact pathophysiology behind RPON is unclear and the clinical presentation often resembles migraine headaches. Here, the authors present the case of a patient with RPON who, after numerous therapeutic failures, received erenumab and experienced significant improvement. This case supports the argument that RPON should be reclassified as a mig

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3

Lal, Vivek, Preeti Sahota, Paramjeet Singh, Amod Gupta, and Sudesh Prabhakar. "Ophthalmoplegia With Migraine in Adults: Is It Ophthalmoplegic Migraine?" Headache: The Journal of Head and Face Pain 49, no. 6 (2009): 838–50. http://dx.doi.org/10.1111/j.1526-4610.2009.01405.x.

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4

Østergaard, JR, HU Møller, and T. Christensen. "Recurrent Ophthalmoplegia in Childhood: Diagnostic and Etiologic Considerations." Cephalalgia 16, no. 4 (1996): 276–79. http://dx.doi.org/10.1046/j.1468-2982.1996.1604276.x.

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We present two patients with recurrent painful ophthalmoplegia starting in early childhood. Clinically, both patients fulfilled the criteria for ophthalmoplegic migraine. In one case, magnetic resonance investigations were performed following the second attack, between the third and fourth and during the fourth attack. The left third cranial nerve was significantly thickened in its course from the brainstem through the prepontine cistern to the cavernous sinus during the attacks and moderately thickened between the attacks. In the second case, magnetic resonance imaging was performed during th

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5

Lal, Vivek. "Ophthalmoplegic migraine." Neurology India 58, no. 1 (2010): 15. http://dx.doi.org/10.4103/0028-3886.60388.

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6

Daroff, RB. "Ophthalmoplegic Migraine." Cephalalgia 21, no. 2 (2001): 81. http://dx.doi.org/10.1046/j.1468-2982.2001.00174.x.

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7

Lyerly, Michael J., Brian W. Peterson, Anna K. Lara, and Tony M. McGrath. "Ophthalmoplegic Migraine." Headache: The Journal of Head and Face Pain 51, no. 7 (2011): 1167–68. http://dx.doi.org/10.1111/j.1526-4610.2011.01933.x.

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8

Weiss, Avery H., and James O. Phillips. "Ophthalmoplegic migraine." Pediatric Neurology 30, no. 1 (2004): 64–66. http://dx.doi.org/10.1016/s0887-8994(03)00424-7.

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9

Levin, Morris, and Thomas N. Ward. "Ophthalmoplegic migraine." Current Pain and Headache Reports 8, no. 4 (2004): 306–9. http://dx.doi.org/10.1007/s11916-004-0013-0.

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10

Troost, B. T. "Ophthalmoplegic migraine." Biomedicine & Pharmacotherapy 50, no. 2 (1996): 49–51. http://dx.doi.org/10.1016/0753-3322(96)84712-3.

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11

Bek, Semai, Gencer Genc, Seref Demirkaya, Erdal Eroglu, and Zeki Odabasi. "Ophthalmoplegic Migraine." Neurologist 15, no. 3 (2009): 147–49. http://dx.doi.org/10.1097/nrl.0b013e3181870408.

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12

Nandana, Jayakumari, Sruthi S. Nair, Sachin Girdhar, and Soumya Sundaram. "Recurrent painful ophthalmoplegic neuropathy: a cause for recurrent third nerve palsy in a child." BMJ Case Reports 14, no. 11 (2021): e246179. http://dx.doi.org/10.1136/bcr-2021-246179.

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Recurrent painful ophthalmoplegic neuropathy (RPON), previously called ophthalmoplegic migraine, is a rare condition characterised by recurrent episodes of headache and ophthalmoplegia. We report a case of 11-year-old girl with recurrent painful ophthalmoplegia due to isolated right oculomotor nerve involvement. MR brain imaging showed enhancing lesion of cisternal segment of right oculomotor nerve. A possibility of Tolosa Hunt syndrome was considered and she was treated with glucocorticoids, followed by azathioprine due to recurrence. In the fourth episode, she developed migraine headache fol

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13

Patro, S., and T. Banerjee. "A Case of Ophthalmoplegic Migraine: Some Observations." Neuroradiology Journal 24, no. 6 (2011): 862–66. http://dx.doi.org/10.1177/197140091102400605.

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We describe a 43-year-old man with a long-standing history of headache and ophthalmoplegia. Brain MRI showed a nodular enhancing lesion at the root exit zone of the left oculomotor nerve. Contrast enhancement on follow-up MRI and clinical symptoms showed a partial resolution on starting prophylactic anti-migraine medications. This was confirmed to be a case of ophthalmoplegic migraine. Here we describe a rare case of OM in an adult patient with its characteristic imaging pattern and the differential diagnosis considered.

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14

Lance, JW, and AS Zagami. "Ophthalmoplegic Migraine: A Recurrent Demyelinating Neuropathy?" Cephalalgia 21, no. 2 (2001): 84–89. http://dx.doi.org/10.1046/j.1468-2982.2001.00160.x.

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The demonstration by magnetic resonance imaging (MRI) scanning of thickening and enhancement of the cisternal part of the oculomotor nerve in patients diagnosed as ‘ophthalmoplegic migraine’ prompts reconsideration of this uncommon disorder. The case histories of five patients, three male and two female, varying in age from 6 to 30 years, are presented here. Recurrent painful ophthalmoplegia started in infancy in two cases, childhood in two instances and adult life in one. One child had his first attacks at 3, 5 and 12 months of age, on each occasion 10 days after an injection of triple vaccin

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15

Gelfand, Amy A., Jeffrey M. Gelfand, Prab Prabakhar, and Peter J. Goadsby. "Ophthalmoplegic “Migraine” or Recurrent Ophthalmoplegic Cranial Neuropathy." Journal of Child Neurology 27, no. 6 (2012): 759–66. http://dx.doi.org/10.1177/0883073811426502.

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16

Margari, Lucia, Anna R. Legrottaglie, Francesco Craig, Maria G. Petruzzelli, Ugo Procoli, and Franca Dicuonzo. "Ophthalmoplegic migraine: Migraine or oculomotor neuropathy?" Cephalalgia 32, no. 16 (2012): 1208–15. http://dx.doi.org/10.1177/0333102412463493.

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17

Manzouri, B., A. Sainani, GT Plant, JP Lee, and J. Sloper. "The Aetiology and Management of Long-Lasting Sixth Nerve Palsy in Ophthalmoplegic Migraine." Cephalalgia 27, no. 3 (2007): 275–78. http://dx.doi.org/10.1111/j.1468-2982.2006.01252.x.

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The features and management of two adult patients with ophthalmoplegic migraine and longlasting sixth nerve palsies are described. Both had had previous shorter episodes of diplopia following migraine-like headaches. One recovered following an injection of botulinum toxin to the medial rectus of her affected eye 11 months after the onset of diplopia. The other patient had previously had surgery for a consecutive divergent squint and required further squint surgery to realign his eyes 1 year after the onset of his sixth nerve palsy. Both botulinum toxin and squint surgery may be useful in the m

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18

Choi, Jeong-Yoon, Sang Hyun Jang, Moon Ho Park, Byung Jo Kim, and Dae Hie Lee. "Ophthalmoplegic Migraine With Alternating Unilateral and Bilateral Internal Ophthalmoplegia." Headache: The Journal of Head and Face Pain 47, no. 5 (2007): 726–28. http://dx.doi.org/10.1111/j.1526-4610.2007.00796.x.

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19

Ogose, Takeshi, Tetsuya Manabe, and Takanori Abe. "Childhood steroid-responsive painful ophthalmoplegia: Clues to ophthalmoplegic migraine." Journal of Pediatrics 151, no. 2 (2007): e8-e9. http://dx.doi.org/10.1016/j.jpeds.2007.04.040.

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20

Pareja, JA, J. Churruca, B. de la Casa Fages, C. López de Silanes, C. Sánchez, and FJ Barriga. "Ophthalmoplegic migraine. Two patients with an absolute response to indomethacin." Cephalalgia 30, no. 6 (2009): 757–60. http://dx.doi.org/10.1111/j.1468-2982.2009.02003.x.

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Two patients suffering from ophthalmoplegic migraine had a strictly unilateral headache absolutely responsive to indomethacin, but not to other non-steroidal anti-inflammatory drugs, analgesics or corticosteroids. Such observations raise a therapeutic alternative and suggest that ophthalmoplegic migraine may present with different headache phenotypes.

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21

Dr, Sanjoy Chowdhury, Madhumita Srivastava Dr, and Nilanjan Dr. "Flunarazine in Opthalmic Migraine." Researchers VI, no. I (2020): 16–23. https://doi.org/10.21276/tr.2020.6.1.AN2.

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About one in ten people suffer from attacks of migraine around the world, still, it is one of the most misconceived, misdiagnosed and inadequately treated headaches. Flunarizine can stabilize blood vessels by blocking calcium channels. Hence it is used in the treatment of migraine with limited success. AIM: Flunarizine was used in all cases of ophthalmoplegic migraine at our centre to evaluate its clinical efficacy. At least 200 cases of migraine were followed up over a period of two years to find out Ophthalmoplegia with the help of standardized questionnaire. Result: Of the total 200 migrain

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22

Liu, Yinglu, Miao Wang, Xiangbing Bian, et al. "Proposed modified diagnostic criteria for recurrent painful ophthalmoplegic neuropathy: Five case reports and literature review." Cephalalgia 40, no. 14 (2020): 1657–70. http://dx.doi.org/10.1177/0333102420944872.

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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.

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23

Woody, Robert C., and Michael E. Blaw. "Ophthalmoplegic Migraine in Infancy." Clinical Pediatrics 25, no. 2 (1986): 82–84. http://dx.doi.org/10.1177/000992288602500204.

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24

Cadman-Davies, Morgan G., Rajiv Chandegra, Stephen M. Scotcher, and Neeraj Prasad. "Nicorandil induced ophthalmoplegic migraine." JRSM Short Reports 3, no. 6 (2012): 1–3. http://dx.doi.org/10.1258/shorts.2011.011177.

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25

Vo, Nguyen. "Ophthalmoplegic migraine in infancy." Journal of Emergency Medicine 5, no. 2 (1987): 167–68. http://dx.doi.org/10.1016/0736-4679(87)90101-6.

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26

Prats, JM, B. Mateos, and C. Garaizar. "Resolution of Mri Abnormalities of the Oculomotor Nerve in Childhood Ophthalmoplegic Migraine." Cephalalgia 19, no. 7 (1999): 655–59. http://dx.doi.org/10.1046/j.1468-2982.1999.019007655.x.

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Ophthalmoplegic migraine is an uncommon disorder, usually starting in older childhood. Its physiopathology remains obscure and diagnosis is reliant on clinical grounds and exclusion of other disorders. We report four cases of childhood ophthalmoplegic migraine, one of them starting in infancy. Association with other types of migraine is common. Two of the three patients studied by magnetic resonance imaging (MRI) showed enhancement and enlargement of the cisternal portion of the oculomotor nerve, which spontaneously resolved after 2 and 4 years, respectively. Persistence of clinical recurrence

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27

Chen, Ping-Kun, and Shuu-Jiun Wang. "Ophthalmoplegic migraine: Migraine variant or cranial neuralgia?" Cephalalgia 32, no. 7 (2012): 515–17. http://dx.doi.org/10.1177/0333102412437389.

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28

McMillan, H. J., D. L. Keene, P. Jacob, and P. Humphreys. "Ophthalmoplegic Migraine: Inflammatory Neuropathy with Secondary Migraine?" Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 34, no. 3 (2007): 349–55. http://dx.doi.org/10.1017/s0317167100006818.

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Background:This critical review provides a summary of the clinical presentation, neuroimaging, treatment and prognosis in pediatric ophthalmoplegic migraine (OM). The features of OM are not in keeping with its classification as a migraine-variant.Method:We review 3 new and 37 reported pediatric OM cases.Results:Headache was an inconsistent feature, with 25% patients showing no evidence of pain at the initial OM episode.Patients demonstrated:1) prolonged time for symptom resolution to occur (median time 3 weeks); 2) tendency for recurrent episodes to have more severe and persistent nerve involv

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29

Carlow, Thomas J. "Oculomotor Ophthalmoplegic Migraine: Is It Really Migraine?" Journal of Neuro-Ophthalmology 22, no. 3 (2002): 215–21. http://dx.doi.org/10.1097/00041327-200209000-00006.

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30

Alawadhi, A., C. Saint-Martin, and M. Oskoui. "P.025 Magnetic resonance imaging in pediatric recurrent ophthalmoplegic cranial neuropathy." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 44, S2 (2017): S19—S20. http://dx.doi.org/10.1017/cjn.2017.110.

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Background: Recurrent ophthalmoplegic cranial neuropathy (ROCN), previously called ophthalmoplegic migraine, is characterized by recurrent episodes of headache and ophthalmoplegia of unclear etiology. Characteristic neuroimaging findings can support the diagnosis. Methods: A case report and review of the literature. Results: We present a 6-year-old girl with a past history of migraine headaches associated with retroorbital pain since 4 years of age. Family history is positive for migraine. She presented with a half a day history of left eye ptosis, 10 days post a resolved gastroenteritis which

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31

Eun, Mi-Yeon, and HungYoul Seok. "Ophthalmoplegic Migraine: A Misnomer of Recurrent Painful Ophthalmoplegic Neuropathy." Neurology India 70, no. 4 (2022): 1759. http://dx.doi.org/10.4103/0028-3886.355148.

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32

Granado, LIG, and G. Guillen. "Treatment options for ophthalmoplegic migraine." Journal of Postgraduate Medicine 55, no. 3 (2009): 231. http://dx.doi.org/10.4103/0022-3859.57389.

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33

van der Dussen, DH, BR Bloem, L. Liauw, and MD Ferrari. "Ophthalmoplegic Migraine: Migrainous or Inflammatory?" Cephalalgia 24, no. 4 (2004): 312–15. http://dx.doi.org/10.1111/j.1468-2982.2004.00669.x.

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34

Crevits, L., H. Verschelde, and J. Casselman. "Ophthalmoplegic Migraine: An Unresolved Problem." Cephalalgia 26, no. 10 (2006): 1255–59. http://dx.doi.org/10.1111/j.1468-2982.2006.01203.x.

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35

Kuzemko, J. A., and W. Young. "Ophthalmoplegic Migraine: A Case Report." Developmental Medicine & Child Neurology 9, no. 4 (2008): 427–29. http://dx.doi.org/10.1111/j.1469-8749.1967.tb02295.x.

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36

Hutchinson, D. O., and I. M. Donaldson. "Ophthalmoplegic migraine with bilateral involvement." Journal of Neurology, Neurosurgery & Psychiatry 52, no. 6 (1989): 807–8. http://dx.doi.org/10.1136/jnnp.52.6.807.

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37

O'Halloran, H. S., W. B. Lee, R. S. Baker, and P. A. Pearson. "Ophthalmoplegic Migraine With Unusual Features." Headache: The Journal of Head and Face Pain 39, no. 9 (1999): 670–73. http://dx.doi.org/10.1046/j.1526-4610.1999.3909670.x.

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38

ROHATGI, S., and HS BHATOE. "A CASE OF OPHTHALMOPLEGIC MIGRAINE." Medical Journal Armed Forces India 55, no. 4 (1999): 356. http://dx.doi.org/10.1016/s0377-1237(17)30373-8.

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39

Roy, Mahua, Jagabandhu Ghosh, Sujit Deb, and Narayan Pandit. "Childhood steroid-responsive ophthalmoplegic migraine." Journal of Pediatric Neurosciences 6, no. 1 (2011): 69. http://dx.doi.org/10.4103/1817-1745.84414.

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40

Ambrosetto, Paolo, Francesca Nicolini, Matteo Zoli, Luigi Cirillo, Paola Feraco, and Antonella Bacci. "Ophthalmoplegic migraine: From questions to answers." Cephalalgia 34, no. 11 (2014): 914–19. http://dx.doi.org/10.1177/0333102414523843.

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Introduction The International Classification of Headache Disorders classifies ophthalmoplegic migraine (OM) under “cranial neuralgias and central causes of facial pain.” OM is diagnosed when all the following criteria are satisfied: At least two attacks fulfilling criterion B. Migraine-like headache accompanied or followed within four days of its onset by paresis of one or more of the III, IV and/or VI cranial nerves. Parasellar orbital fissure and posterior fossa lesions ruled out by appropriate investigations. In children the syndrome is rare and magnetic resonance (MR) shows strongly enhan

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41

Giraud, Pierric, Dominique Valade, Michel Lanteri-Minet, Anne Donnet, Gilles Geraud, and Evelyne Guégan-Massardier. "Is migraine with cranial nerve palsy an ophthalmoplegic migraine?" Journal of Headache and Pain 8, no. 2 (2007): 119–22. http://dx.doi.org/10.1007/s10194-007-0371-1.

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42

Zamproni, Laura N., Reinaldo T. Ribeiro, and Marina Cardeal. "Treatment of Recurrent Painful Ophthalmoplegic Neuropathy: A Case Where Pregabalin Was Successfully Employed." Case Reports in Neurological Medicine 2019 (February 7, 2019): 1–5. http://dx.doi.org/10.1155/2019/9185603.

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Recurrent painful ophthalmoplegic neuropathy, previously known as ophthalmoplegic migraine, is a rare condition that affects children and young adults. Its cause and classification are still controversial and, consequently, there are no published treatment guidelines or consensus. Glucocorticoids seem to be beneficial for some patients, but there is no established treatment when failure of this therapy occurs. The aim of this study was to report a case where pregabalin was successfully used after failure of glucocorticoid therapy in a patient with recurrent painful ophthalmoplegic neuropathy.

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43

Kekatpure, MinalV, Pratibha Panmand, and Sivakanth Nalubolu. "Neuroimaging of a paediatric ophthalmoplegic migraine." Annals of Indian Academy of Neurology 25, no. 1 (2022): 131. http://dx.doi.org/10.4103/aian.aian_327_21.

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44

Bisdorff, AR, and G. Wildanger. "Oculomotor Nerve Schwannoma Mimicking Ophthalmoplegic Migraine." Cephalalgia 26, no. 9 (2006): 1157–59. http://dx.doi.org/10.1111/j.1468-2982.2006.01167.x.

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45

Lane, R., and P. Davies. "Ophthalmoplegic migraine: The case for reclassification." Cephalalgia 30, no. 6 (2009): 655–61. http://dx.doi.org/10.1111/j.1468-2982.2009.01977.x.

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46

Bazak, I., T. Margulis, H. Shnaider, and A. Palant. "Ophthalmoplegic migraine and recurrent sinus arrest." Journal of Neurology, Neurosurgery & Psychiatry 54, no. 10 (1991): 935. http://dx.doi.org/10.1136/jnnp.54.10.935.

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47

Sobreira, Inês, Cátia Sousa, Ana Raposo, Fernando Fagundes, and Ana Isabel Dias. "Ophthalmoplegic Migraine With Persistent Dilated Pupil." Journal of Child Neurology 28, no. 2 (2012): 275–76. http://dx.doi.org/10.1177/0883073812467255.

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48

Amit, R., and D. Benezra. "Oculomotor Ophthalmoplegic Migraine in an Infant." Headache: The Journal of Head and Face Pain 27, no. 7 (1987): 390–91. http://dx.doi.org/10.1111/j.1526-4610.1987.hed2707390.x.

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49

Stommel, Elijah W., Thomas N. Ward, and Robert D. Harris. "Ophthalmoplegic Migraine or Tolosa-Hunt Syndrome?" Headache: The Journal of Head and Face Pain 34, no. 3 (1994): 177. http://dx.doi.org/10.1111/j.1526-4610.1994.hed3403176_2.x.

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50

Sharma, B., R. B. Sannegowda, S. Kumar, and P. Dubey. "Ophthalmoplegic migraine with trigeminal nerve involvement." Case Reports 2013, may27 1 (2013): bcr2013009630. http://dx.doi.org/10.1136/bcr-2013-009630.

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