Ophthalmoplegic Migraine: A Case Report

ABSTRACT

The painful ophthalmoplegia may be caused by various diseases such as tuberculous meningitis, brain tumor, diabetes mellitus, aneurysm of internal carotid artery, nasopharyngeal tumor, temporal arteritis, Tolosa-Hunt syndrome, exophthalmic ophthalmoplegia, ophthalmoplegic migraine and pseudotumor of orbit. Ophthalmoplegic migraine can be diagnosed by the symptom of typical migraine followed by ophthalmoplegia but sbould be a diagnosls of exclusion. The present report describes a case of ophthalmoplegic migraine, a 9 year-old girl with migrainous headache followed by right orbital pain and oculomotor nerve palsy The patient responded well to propranolol. Literatures are briefly reviewed.