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         Ophthalmoplegic Migraine:     more detail

61. From The Cleveland Clinic: Your Guide To Migraines
ophthalmoplegic migraine. Pain around the eye, including paralysis in the muscles Other symptoms of ophthalmoplegic migraines include droopy eyelid,
http://my.webmd.com/content/article/46/1826_50692.htm?z=1826_50669_6512_0000_00_

62. Arquivos De Neuro-Psiquiatria -
Translate this page ophthalmoplegic migraine is a rare syndrome in which headache is associated with ophthalmoplegic migraine reversible enhancement and thickening of the
http://www.scielo.br/scielo.php?pid=S0004-282X2005000100033&script=sci_arttext&t

63. Diplopia And Cranial Nerve Lesions - Patient UK
ophthalmoplegic migraine is a rare condition, thought to represent a variant abstract; Levin M, Ward TN; ophthalmoplegic migraine.;Curr Pain Headache
http://www.patient.co.uk/showdoc/40024886/
PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people.
Diplopia and cranial nerve lesions
An understanding of the anatomy is essential to make a logical diagnosis of the cause of acquired diplopia. Anatomy There are 6 external ocular muscles of which the superior oblique is supplied by the trochlear nerve (IV), the lateral rectus is supplied by the abducent nerve (VI) and all other external muscles, the internal muscles and the eyelid are supplied by the oculomotor nerve (III). The 4 rectus muscles pull directly on the globe so that they move the eye in the direction of their name, superior, inferior, medial and lateral. The oblique muscles hook round a "pulley" so that they move the eyes the opposite way. Hence the superior oblique moves the eye down and out (the tramp’s muscle) and the inferior oblique move it up and out. The superior and inferior recti are not placed centrally so they have a tendency to move the eye medially but this is opposed by the obliques. MUSCLE DIRECTION OF PULL RESULT OF PARALYSIS CRANIAL NERVE MEDIAL RECTUS MEDIAL LATERAL III SUPERIOR RECTUS UPWARDS DOWNWARDS III LATERAL RECTUS LATERAL MEDIAL VI INFERIOR RECTUS DOWNWARDS UPWARDS III SUPERIOR OBLIQUE DOWN AND OUT UP AND IN IV INFERIOR OBLIQUE UP AND OUT DOWN AND IN III
Aetiology The cause may be a space occupying lesion in the orbit or skull, a vascular lesion

64. Postgraduate Medicine: Special Headaches Symposium: Headaches In Children
ophthalmoplegic migraine Headaches of this type can occur for the first time in babies less than 1 ophthalmoplegic migraine is a diagnosis of exclusion.
http://www.postgradmed.com/issues/1997/05_97/winner.htm
Headaches in children
When is a complete diagnostic workup indicated?
Paul K. Winner, DO VOL 101 / NO 5 / MAY 1997 / POSTGRADUATE MEDICINE This page is best viewed with a browser that supports tables. This is the third of four articles on headaches Preview : When a child has headaches, parents usually seek medical attention to get reassurance that the cause is not a brain tumor or other serious problem. Many parents don't realize that it is not uncommon for migraine headaches to begin during childhood. Other parents may realize that migraines are part of their family history but don't know about frightening variants, such as benign torticollis. Dr Winner describes childhood presentations of migraine and other headaches and discusses atypical findings that require further assessment. He also summarizes methods that are useful in checking and preventing headache attacks. U ncommon primary headache syndromes as well as secondary headache disorders in children can be quite anxiety-provoking, not only for patients and parents but also for practitioners, who must decide what degree of evaluation is needed and what treatment is appropriate. Thorough history taking, physical examination and, when appropriate, diagnostic testing usually allow physicians to distinguish primary headaches from headaches secondary to another problem. However, evaluation of children, especially those under age 10, requires special knowledge and techniques. Input from parents is crucial in obtaining an accurate headache history. Important determinations in history taking are whether the child experiences more than one type of headache and what level of disability the headaches cause. At present, there is no easily used scale to measure disability from headaches in children. The severity can be estimated, though, from answers to specific questions (eg, Can the child tolerate watching television or listening to music when he or she has a headache? Is participation in after-school activities limited by headaches? Is academic performance affected by headaches? How much school has the child missed because of headaches?).

65. Möbius' Syndrome I (www.whonamedit.com)
Migraine ophthalmoplegique; hemicrania hemiplegic syndrome; hemiplegicophthalmoplegic migraine ophthalmoplegic migraine; periodic oculomotor paralysis.
http://www.whonamedit.com/synd.cfm/51.html

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Möbius' syndrome I Also known as: Möbius’ disease Synonyms: Migraine ophthalmoplegique; hemicrania hemiplegic syndrome; hemiplegic-ophthalmoplegic migraine syndrome; hemiplegic familial migraine syndrome; neurologic migraine syndrome; oculomotor recurrent paralsysis; ophthalmoplegic migraine; periodic oculomotor paralysis. Associated persons: Paul Julius Möbius Description: A neurological disorder, characterized by paralysis of the oculomotor nerve accompanied with periodic migraine. It begins as severe vomiting and ohthalmodynya. After an attack, there is a gradual diminishing of symptoms until mydriasis becomes the only sign. After 3 to 5 days of onset, when pain subsides, it is frequently followed by hemiparesis. Recovery usually follows afte a few days. It is believed to be caused by compression of the third cranial nerve between the posterior cerebral and superior cerebral arteries. Occur in young adults. Bibliography:
  • P. J. Möbius:

66. Arch Neurol -- Abstract: Steroid-responsive Ophthalmoplegia In A Child. Diagnost
A review of published cases of ophthalmoplegic migraine demonstrated that the clinical history, the cornerstone of diagnosis in migraine,
http://archneur.ama-assn.org/cgi/content/abstract/42/6/589
Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress
Vol. 42 No. 6, June 1985 Featured Link E-mail Alerts ARTICLE Article Options Send to a Friend Readers Reply Submit a reply Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Kandt RS Goldstein GW Contact me when this article is cited
Steroid-responsive ophthalmoplegia in a child. Diagnostic considerations
R. S. Kandt and G. W. Goldstein
Among the painful ophthalmoplegias, ophthalmoplegic migraine and Tolosa-Hunt syndrome share many features. Our 6-year-old patient had three episodes of ophthalmoplegia. Two episodes were painful and promptly resolved with oral prednisone. She had no evidence of parasellar or systemic disease. A review of published cases of ophthalmoplegic migraine demonstrated that the clinical history, the cornerstone of diagnosis in

67. Portal Toolkit Invalid Site URL
ophthalmoplegic migraine reversible enhancement and thickening of the cisternal segment One of the largest series to date on ophthalmoplegic migraine,
http://www.co-ophthalmology.com/pt/re/coophth/fulltext.00055735-199910000-00006.
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Thank you

68. Portal Toolkit Invalid Site URL
Carlow TJ Oculomotor ophthalmoplegic migraine What really causes it? Reply. J Neuroophthalmol 2003, 23240-241. Carlsson A, Forsgren L, Nylander PO,
http://www.co-ophthalmology.com/pt/re/coophth/fulltext.00055735-200412000-00013.
Sorry, the URL specified, http://www.co-ophthalmology.com:80/pt/re/coophth/fulltext.00055735-200412000-00013.htm , is invalid.

Thank you

69. Migraine Variants
ophthalmoplegic migraine, patients present with double vision. Third nerve palsy with headache is the most common type. Again, this is a rare variant,
http://www.dizziness-and-balance.com/disorders/central/migraine/migraine_variant
Migraine variants
Timothy C. Hain, MD Please read our Return to Index Search this site Page last modified: November 1, 2004
About 10% of the population has Migraine. There are many variants, of which the most common are described below. Fortification spectra, as might be seen in Migraine with aura. Scotoma with aspects of a fortification. Classic migraine : Migraine headache with aura (loss of vision or other visual symptoms, paresthesias, motor dysfunction) precedes the throbbing headache. 15-20% of migraines are classic (Russell and Olesen, 1996). Migraine with aura may be the first sign of CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy.). Aura is also common in familial hemiplegic migraine . Cortical spreading depression within the occipital cortex generate most visual areas as well as sensory symptoms. Common migraine : Migraine headache without aura. About 80% of migraines are of this type (Russell and Olesen, 1996). Vertebrobasilar migraine : headache accompanied by dizziness or ataxia, hearing symptoms (other than phonophobia), nausea and vomiting, and sometimes loss of consciousness. This is rather common as about 1/3 of all persons with migraine experience true vertigo. See related page on "

70. Migraine Headaches
ophthalmoplegic migraine pain around the eye, including paralysis in the muscles surrounding the eye. This is an emergency medical condition,
http://www.clevelandclinic.org/health/health-info/docs/2600/2611.asp?index=5005

71. Ophthalmoplegic Migraine And Aberrant Regeneration Of The Oculomotor Nerve -- O'
A patient with ophthalmoplegic migraine developed aberrant regeneration of the oculomotor nerve. This finding supports the view that the oculomotor nerve
http://bjo.bmjjournals.com/cgi/content/abstract/64/7/534

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ORIGINAL ARTICLES
Ophthalmoplegic migraine and aberrant regeneration of the oculomotor nerve
J O'Day, F Billson and J King
A patient with ophthalmoplegic migraine developed aberrant regeneration of the oculomotor nerve. This finding supports the view that the oculomotor nerve lesion in ophthalmoplegic migraine is peripheral, but its rarity suggests that the underlying mechanism may be ischaemic rather than compression by an oedematous intracavernous internal carotid artery.

72. Vascular Headaches And Migraines
ophthalmoplegic migraine symptoms include pain around the eye, sometimes with a droopy eyelid, double vision, and other sight problems.
http://www.healthsystem.virginia.edu/uvahealth/adult_neuro/vascache.cfm
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73. OPHTHALMOPLEGIC MIGRAINE *
ophthalmoplegic migraine *. (With Report of a Case). Alfred J. Elliot, MD. New York, NY. * Read before the New York Society for Clinical Ophthalmology,
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=538126

74. Cluster Headache
Migraine with prominent neurologic Signs. Basilar Migraine; Hemiplegic Migraine; ophthalmoplegic migraine; Menstrual Migraine Migrainous Carotidynia
http://www.fpnotebook.com/NEU126.htm
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75. Feverfew Extract By Source Naturals
ophthalmoplegic migraine In ophthalmoplegic migraine, the pain is around the eye and associated with a droopy eyelid, double vision, and other sight
http://www.herbsmd.com/cure/xq/asp/catid.133/Char.All/qx/detail.htm

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Migraine
Basics
Migraine is a biological disorder of the central nervous system, involving a complicated relationship between the blood supply to the brain and its nerve network. A recurrent, throbbing headache generally felt on one side of the head, migraines usually begin in early childhood, adolescence, or young adult life.
There are many forms of migraine headaches. The classic migraine and the common migraine are the two main types:
Classic Migraines:
There is usually a warning (aura or prodrome) of an approaching headache attack.
Common Migraines: A throbbing headache begins suddenly without warning of an attack. The location of the headache varies. The pain may be on both sides of the head, or it may shift from side to side.
Hemiplegic migraine: Patients with hemiplegic migraine have temporary paralysis on one side of the body, a condition known as hemiplegia. Some people may experience vision problems and vertigoa feeling that the world is spinning. These symptoms begin 10 to 90 minutes before the onset of headache pain.
Ophthalmoplegic migraine: In ophthalmoplegic migraine, the pain is around the eye and associated with a droopy eyelid, double vision, and other sight problems.

76. BBC - Health - Conditions - Migraine
A guide to migraines. also rare types of migraine that include hemiplegic migraine, retinal migraine, ophthalmoplegic migraine, and abdominal migraine.
http://www.bbc.co.uk/health/conditions/migraine1.shtml
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Migraine
Dr Rob Hicks A migraine is a severe headache that is often accompanied by other distressing symptoms. It's thought to be related to chemical changes in the body that affect the way blood vessels and nerve cells function in the brain.
In this article
What are the symptoms? How is it treated? Further help
What are the symptoms?
There are two main types of migraine:
  • Migraine without aura or "common" migraine Migraine with aura or "classical" migraine
  • A migraine attack may start with subtle mood or behaviour changes, for example, unaccountable feelings of happiness or depression, or hunger cravings. In migraine with aura the headache may be preceded by visual or speech disturbance, muscle tingling or weakness, or numbness of the face and arms. The headache that follows is often accompanied by nausea and vomiting, and/or sensitivity to bright lights or noise. A migraine lasts from between four and 72 hours. There are also rare types of migraine that include hemiplegic migraine, retinal migraine, ophthalmoplegic migraine, and abdominal migraine. Another rare form of migraine is basilar artery migraine where symptoms such as dizziness, confusion and lack of balance are not always followed by headache.

    77. EMedicine Health: Migraine Headaches In Children
    ophthalmoplegic migraine This form of migraine is associated with paralysis of the extraocular muscles (muscles next to the eyeballs) and is rare.
    http://www.emedicinehealth.com/articles/37055-3.asp
    Search September 9, 2005 Registration Healthcare Professionals You are in: Headache
    Migraine Headache in Children
    Migraine Headache in Children Symptoms
    Conditions that cause severe headaches in children include both primary and secondary disorders. Primary headaches are conditions in which the headache is the medical condition and no underlying internal cause is present. Treatment is aimed at the specific headache disorder. Primary types include migraine headaches, tension headaches, chronic daily headaches, and cluster headaches. Doctors must find out which type of headache a child has, because the best treatments are different for each category. Headaches that come back again and again are usually the result of primary disorders. Secondary headaches are a result of some underlying process. When that process is treated, the associated headache usually gets better or goes away. Secondary headaches can be caused by many conditions, from harmless to life threatening. The following are examples of such conditions:
    • Infections (inside the head or elsewhere)
      Head tumors or masses
      Injuries to the head or neck
      Fever (for example, from flu)

    78. Medical Breakthroughs - Learn More About Migraines
    ophthalmoplegic migraine, which involves temporary eye inconveniences, such as droopy eyelid and pupillary changes, lasting from several days to weeks;
    http://scc.healthcentral.com/bcp/main.asp?page=ency&id=21&ap=43&brand=35

    79. Enter A Description Here
    ophthalmoplegic migraine ophthalmoplegic migraine is a rare form of migraine Diagnosis of ophthalmoplegic migraine begins with a medical history and
    http://members.tripod.com/vitamvas/plegues.html
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    The Signs of The Times
    God Gives Strength
    "I can do all things in him who strengthens me."
    Philippians 4:13

    "My world was shaken when my husband died of a heart attack while we were shopping in a local mall, and I was totally unprepared for the emotional earthquake that followed. My husband was a minister and I was thrown into making decisions of where to live and work, what I would do with all the books and materials in his library and dealing with grief and loss at the same time. I did not want to think of packing for it meant goodbye to what had been; even trying to eat regular meals and the every day responsibilities of a house was too much. I wanted to withdraw from the world completely and be left alone with my misery. To learn to live once more without my husband was the hardest task I had to face.
    Yet that is the very thing God requires of us in the hard times - to endure, to continue living among the living. Slowly, painfully, I learned to coy drawing strength from God, my family and friends and repeating every morning, "I can do all things in him who strengthens me."

    80. Cephalalgia 1999
    al Resolution of MRI abnormalities of the oculomotor nerve in childhood ophthalmoplegic migrainefour cases of childhood ophthalmoplegic migraine.
    http://homepage2.nifty.com/uoh/shiryou/t_cephalalgia1999.htm
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    EDITORIAL COMMENTARY
    1@@ Glycerol gangliotomyN Mathew; Indirect cost of migraine-
    C Dahl6f; Migraine and TTH-two diseases with a common
    neuronal dysfunction?-P Kropp
    HISTORY OF MEDICINE
    3@@ M Wilkinson, H Isler: The pioneer woman's view of
    migraine: Elizabeth Garrett Anderson's thesis "Sur la
    migraine"
    CURRENT PRACTICE
    ORIGINAL ARTICLES 27@@ LM Cupini, E Troisi, F Placidi, M Diomedi, M Silvestrini, G Argiro, G Bernardi: Does the antimigraine action of flunarizine involve the dopaminergic system? A clinical-neuroendocrinological study[ƒzƒ‹ƒ‚ƒ“‚𑪒èAƒtƒ‹ƒiƒŠƒWƒ“‚Í dopaminergic system at tuberoinfundibular level‚É‚ÍŠÖŒW‚È‚³‚»‚¤] 32@@ A Karwautz, C W6ber, T Lang, A B6ck, C Wagner-Ennsgraber, C Vesely, C Kienbacher, C, W6ber-Bing6l:Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature [•Ð“ª’ÉŠ³ŽÒ‚Í“ª’É‚ÅŠwZ‚ð‚µ‚Î‚µ‚΂©‚È‚è‹x‚ñ‚Å‚¢‚½. •Ð“ª’ɂ͉Ƒ°AZ‘îŠÂ‹«AŠwZó‹µA—FlŠÖŒW‚ÉŠÖ˜A‚µ‚È‚¢. ‹Ù’£Œ^“ª‚Í—¼e‚Ì—£¥A—FlŠÖŒW‚ÌŠó”–‚ÉŠÖŒW‚µ‚Ä‚¢‚½] 44@@ B Suhr, S Evers, B Bauer, I Gralow, KH Grotemeyer,IW Husstedt: Drug-induced headache: long-term results of stationary versus ambulatory withdrawal therapyu´˜^ŽQÆv

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