Premium
Recurrent Painless Oculomotor Palsy in Children. A Variant of Ophthalmopegic Migraine?
Author(s) -
Durkan Gerald P.,
Troost B. Todd,
Slamovits Thomas L.,
Spoor Thomas C.,
Kennerdell John S.
Publication year - 1981
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1981.hed2102058.x
Subject(s) - medicine , migraine , nausea , palsy , oculomotor nerve palsy , edrophonium , pediatrics , anesthesia , vomiting , alternative medicine , pathology , neostigmine
SYNOPSIS We report two children with isolated recurrent painless oculomotor palsy in whom neurodiagnostic investigations were normal. The tests included Edrophonium hydrochloride (Tensilon) testing and arteriography in one child. Single attacks were observed from onset to resolution in both children. A diagnosis of painless ophthalmoplegic migraine was suspected. Because permanent deficits in ocular motility are apt to occur following repeated attacks of ophthalmoplegic migraine, one child was placed on prophylactic therapy with propranalol. She later developed periodic headache with nausea despite treatment.