Venous angioma associated with atypical ophthalmoplegic migraine.
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.
Berbel-Garcia
Angel
A
Department of Neurology, Hospital Mancha Centro, Alcazar de San Juan, Spain.
Martinez-Salio
Antonio
A
Porta-Etessam
Jesus
J
Saiz-Diaz
Rosana
R
Gonzalez-León
Pedro
P
Ramos
Ana
A
Campollo
Jorge
J
D000293:Adolescent; D020787:Central Nervous System Venous Angioma / Q000150:complications*; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology*