A Case of Ophthalmoplegic Migraine Developed in Infancy.

Cho,  Hong Sang; Seo,  Ji Yeong; Yoo,  Eun Gyong; Chae,  Kyu Young

Case Report

Journal of the Korean Child Neurology Society 2003;11(2):372-376.
Published online November 30, 2003.

A Case of Ophthalmoplegic Migraine Developed in Infancy.

Hong Sang Cho, Ji Yeong Seo, Eun Gyong Yoo, Kyu Young Chae

Department of Pediatrics, College of Medicine, Pochon CHA University, Sungnam, Korea. barnabas@cha.ac.kr

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.

Key Words: Ophthalmoplegic migraine, Corticosteroid, Magnetic resonance imaging