title: Ophthalmoplegic migraine with trigeminal nerve involvement.
abstract: We report a 25-year-old man with a history of uncontrolled migrainous headaches who developed third nerve palsy and sensory loss over V1 distribution of trigeminal nerve, during an attack of severe migraine. Gadolinium-enhanced MRI of the brain and cavernous sinus was normal and did not disclose nerve enhancement. CT angiogram was also normal. The patient recovered uneventfully in 2 weeks on oral steroids. The commonest cranial nerve implicated in ophthalmoplegic migraine is the occulomotor nerve. Involvement of the fifth nerve has never been reported.
authors.affiliation: Department of Neurology, SMS Medical College Hospital, Jaipur, Rajasthan, India. sharmadrbhawna@gmail.com
authors.forename: Bhawna
authors.initials: B
authors.lastname: Sharma
authors.forename: Raghavendra Bakki
authors.initials: RB
authors.lastname: Sannegowda
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Parul
authors.initials: P
authors.lastname: Dubey
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D060486:Ophthalmoplegic Migraine / Q000503:physiopathology*; D014276:Trigeminal Nerve / Q000503:physiopathology*