J Korean Child Neurol Soc.  2003 Nov;11(2):372-376.

A Case of Ophthalmoplegic Migraine Developed in Infancy

• Cho HS
• Seo JY
• Yoo EG
• Chae KY

Abstract

Ophthalmoplegic migraine is defined as recurrent unilateral headaches associated with extraocular muscle palsies. This disorder is more common in older children, but it may begin in infancy. Neuroimaging study should be performed to rule out conditions resulting in third nerve compression, such as intracranial aneurysm or mass lesions. Early treatment with corticosteroids could shorten the duration of the ophthalmoplegia and relieve the pain. We report a 8 year old boy who had severe headache with recurrent ipsilateral ophthalmoplegia that developed at the age of 2. The pediatrician should be aware that ophthalmoplegic migraine may occur in infancy and that early systemic steroid therapy is critical to prevent permanent sequelae.

Keyword

Ophthalmoplegic migraine; Corticosteroid; Magnetic resonance imaging

MeSH Terms

Adrenal Cortex Hormones
Child
Headache
Humans
Intracranial Aneurysm
Magnetic Resonance Imaging
Male
Neuroimaging
Ophthalmoplegia
Ophthalmoplegic Migraine*
Paralysis
Adrenal Cortex Hormones