title: Venous angioma associated with atypical ophthalmoplegic migraine.
abstract: BACKGROUND
  Ophthalmoplegic migraine is a rare syndrome in which episodic headaches are associated with ophthalmoplegia. Several recent reports emphasize the possibility, especially in atypical cases, of a heterogeneous type of ophthalmoplegic migraine.
  
  
  METHODS
  We describe the case of an 18-year-old woman with recurrent episodic headache accompanied by binocular diplopia due to left third cranial nerve palsy. The symptoms resolve in hours. A diagnosis of atypical ophthalmoplegic migraine was established.
  
  
  RESULTS
  Digital angiography revealed a venous angioma draining into the left cavernous sinus.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Neurology, Hospital Mancha Centro, Alcazar de San Juan, Spain.
authors.forename: Angel
authors.initials: A
authors.lastname: Berbel-Garcia
authors.forename: Antonio
authors.initials: A
authors.lastname: Martinez-Salio
authors.forename: Jesus
authors.initials: J
authors.lastname: Porta-Etessam
authors.forename: Rosana
authors.initials: R
authors.lastname: Saiz-Diaz
authors.forename: Pedro
authors.initials: P
authors.lastname: Gonzalez-León
authors.forename: Ana
authors.initials: A
authors.lastname: Ramos
authors.forename: Jorge
authors.initials: J
authors.lastname: Campollo
mesh_terms: D000293:Adolescent; D020787:Central Nervous System Venous Angioma / Q000150:complications*; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology*