title: [Ophthalmoplegic migraine: case report].
abstract: Ophthalmoplegic migraine is a rare syndrome in which episodic fixed unilateral headaches are associated with ipsilateral ophthalmoplegia. Its physiopathology remains obscure. We describe a case in a patient with ophthalmoplegic migraine diagnosed according to the International Headache Society (IH-2004) criteria, who showed an unusual clinical presentation. The first ophthalmoplegic migraine episode occurred in adult life. Pain side changed in one episode. Oculomotor abnormalities were painless during the last crisis. Since diagnosis is made by exclusion, differential diagnosis and need for etiologic investigation are discussed.
authors.affiliation: Disciplina de Neurologia, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil. monzillo@einstein.br
authors.forename: Paulo Hélio
authors.initials: PH
authors.lastname: Monzillo
authors.forename: Victor Marçal
authors.initials: VM
authors.lastname: Saab
authors.forename: Gustavo Guimarães
authors.initials: GG
authors.lastname: Protti
authors.forename: Wilson Luiz
authors.initials: WL
authors.lastname: Sanvito
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000209:etiology; D009802:Oculomotor Nerve; D009886:Ophthalmoplegia / Q000175:diagnosis*; D010291:Paresis / Q000175:diagnosis; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis