Çocukluk Çağında Üçüncü Sinir Felci İle Seyreden Ağrılı Oftalmopleji

The causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive\udlesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized\udby recurrent attacks of headache and ophthalmoplegia that usually begins during childhood. Ophtalmoplegia occurs due to paresis or paralysis\udof cranial nerves 3, 4 or 6. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may\uddemonstrate permanent defects. In this paper, we discuss the case of an 11-year-old patient, who was admitted to our outpatient clinic with\udthe complaints of right ptosis, mydriasis and severe headache. Ophthalmologic examination revealed oculomotor nerve palsy, the patient was\uddiagnosed as having ophthalmoplegic migraine and medical treatment was started. Her complaints have regressed with medication for\udmigraine and recovered completely in 8 weeks. In this case report, painful ophthalmoplegia during childhood and its possible causes are\uddiscussed. (Turk J Ophthalmol 2012; 42: 159-62