Enhancement of oculomotor nerve: a diagnostic criterion for ophthalmoplegic migraine?
The oculomotor nerve of a 6-year-old boy with recurrent headache and recurrent ophthalmoplegia was contrast-enhanced on a magnetic resonance imaging (MRI) scan during an episode. The boy exhibited dramatic response to steroid treatment. The clinical features of ophthalmoplegic migraine and Tolosa-Hunt syndrome overlapped in this patient. We suggest that a positive MRI finding can be included as one of the diagnostic criteria in the classification of ophthalmoplegic migraine and that a trial of steroid is worthwhile in the presence of enhancement of the oculomotor nerve since ophthalmoplegic migraine may be noninfectious but inflammatory in etiology.
Wong
V
V
Department of Pediatrics, The University of Hong Kong, Queen Mary Hospital.
Wong
W C
WC
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D002648:Child; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging; D008297:Male; D008881:Migraine Disorders / Q000175:diagnosis* / Q000188:drug therapy; D009802:Oculomotor Nerve / Q000473:pathology*; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000188:drug therapy; D011241:Prednisone / Q000008:administration & dosage
D000893:Anti-Inflammatory Agents; D011241:Prednisone