title: Unilateral headache with bilateral internal ophthalmoplegia.
abstract: We describe the case of a young woman suffering from migraine. After some years, the headache started to be accompanied by internal ophthalmoplegia. Mydriasis was unilateral and after a few months became bilateral. The ophthalmoplegic migraine is a rare type of headache and it is characterized by paresis of one or more of the third, fourth or sixth cranial nerves. Migraine attacks associated with mydriasis (internal ophthalmoplegia) are extremely rare. Triptan therapy resolved mydriasis, but not the headache.
authors.affiliation: Division of Neurology, Department of Specialty Medicine, Azienda ULSS 15 "Alta Padovana", Cittadella Hospital, Padova, Italy. simonetto.marco@gmail.com
authors.forename: Marco
authors.initials: M
authors.lastname: Simonetto
authors.forename: Luca
authors.initials: L
authors.lastname: Zanet
authors.forename: Francesca
authors.initials: F
authors.lastname: Capozzoli
authors.forename: Andrea
authors.initials: A
authors.lastname: Gelli
authors.forename: Giovanni
authors.initials: G
authors.lastname: Masè
mesh_terms: D005260:Female; D007839:Functional Laterality; D006801:Humans; D008881:Migraine Disorders / Q000150:complications* / Q000503:physiopathology*; D009886:Ophthalmoplegia / Q000209:etiology* / Q000503:physiopathology*; D055815:Young Adult