61. Al 5 Troost BT, Tomsak RL Ophthalmoplegic Migraine and retinal migraine, in Olesen J, TfeltHansen P, Welch KMA (eds) The Headaches. http://www.alshifa-eye.org.pk/journal/migraine.html

Al-Shifa Journal of Ophthalmology (ASJO) Vol. 1, No. 1, January - June 2005 Aims and Scope Information For Authors President's Message Editorial ... Antimicrobial Sensitivity Pattern Ophthalmoplegic Migraine; A case report and review of literature Tayyab Afghani, MBBS, MCPS, MS (Pak), DCEH(London), FIACLE(Australia) Purpose: To highlight the presentation and management of a case of ophthalmoplegic migraine and mini review of the subject. Study Design: Case report. Participant: A 12 years old boy presenting with painful unilateral, recurrent ptosis. Discussion: The incidence of childhood migraine in general has been estimated at between 2% and 5.7%. The ophthalmoplegic migraine is quite rare and constitutes 0.16% of childhood migraine. Third nerve involvement is most common. A typical clinical syndrome emerges in a child or young adult with periodic headache associated with ophthalmoplegia involving all functions of the third nerve, beginning at the height of an attack of cephalgia, which is primarily unilateral and in the orbital region; the paresis lasts for days to weeks following the cessation of headache; recovery is gradual and tends to be less complete after repeated attacks. MRI may show enhancement of third nerve. Systemic steroids have shown promising results. The present case report is quite typical of those reported elsewhere:

62. : The AMEDEO Literature Guide Intermittent angleclosure glaucoma in the presence of a white eye, posing as retinal migraine. Cephalalgia 2005;25622-6. PubMed Related articles http://www.amedeo.com/medicine/mig/mig6.htm

Home HIV Medicine FAQ Unsubscribe ... Flying Publisher Migraine Free Subscription Cephalalgia J Neurol Neurosurg Psychiatry HTML format ... Text format Single Articles Cephalalgia MAGGIONI F , Dainese F, Mainardi F, Lisotto C, et al Intermittent angle-closure glaucoma in the presence of a white eye, posing as retinal migraine. Cephalalgia 2005;25:622-6. PubMed Related articles TASSORELLI C , Greco R, Morazzoni P, Riva A, et al Parthenolide is the component of tanacetum parthenium that inhibits nitroglycerin-induced Fos activation: studies in an animal model of migraine. Cephalalgia 2005;25:612-621. PubMed Related articles Abstract available RAINERO I , Limone P, Ferrero M, Valfre W, et al Insulin sensitivity is impaired in patients with migraine. Cephalalgia 2005;25:593-7. PubMed Related articles Abstract available PEZZINI A , Granella F, Grassi M, Bertolino C, et al History of migraine and the risk of spontaneous cervical artery dissection. Cephalalgia 2005;25:575-80. PubMed Related articles Abstract available KERNICK D Migraine - new perspectives from chaos theory.

63. Migraines - OhioValleyEye.com A retinal migraine is a temporary loss of vision in one eye that is accompanied by a headache in an otherwise young and healthy patient . http://www.ohiovalleyeye.com/eyeinfo_migraine.htm

Laser Eyelid Surgery (Blepharoplasty) Topical Cataract Surgery Diabetic Eye Disease Laser Eyelid Surgery (Blepharoplasty) ... Photodynamic Therapy It is estimated that 22 million Americans suffer from migraines and this can be a debilitating condition for up to 85% of them. New research regarding the brains processing of pain has lead to a discovery of new medications that can help restore a pain free state. Migraines come in many forms. The common element is that they are a result of a blood vessel spasm. These spasms can be within the brain or within the eye itself. Not all migraines result in severe headache and many have visual complications. Migraines are classified as to their type of presentation. The common migraine is a headache without visual symptoms. The classic migraine is one in which there is visual ora followed by the headache. Other migraines can simply give the visual symptoms without the headache and these are called acephalgic migraines. Migraines can occur in clusters as well and effect the eye alone. We will discuss each of the types of migraines and then their treatment in the subsequent paragraphs. An acephalgic migraine is one in which the individual gets the visual symptom described above, but it is not followed by the headache. Most of these patients feel they have an eye problem and often end up in the eye doctor's office because of the scintillating blind spot. Ophthalmic migraines are a very rare condition. They occur most often in children with transient paralysis of the muscles that move the eye. This diagnosis is often difficult and one of exclusion of other serious central nervous system problems.

64. Eye Disorders retinal migraine may cause occlusion, but rarely. 4. Raised intraocular pressure. This may occur from excessive pressure put on the globe during surgical http://hubnet.buffalo.edu/ophthalmology/site/Home/Eye_Disorders/eye_disorders.ht

Visual Loss Refractive Error Cataract ... Optic Atrophy This site divides disorders of th eye and visual system into the following chief complaints: visual loss, abnormalities of the eye movements and pupils, inflamed eyes, eyelid disorders, eye problems in infants, and eye trauma. I.) Visual Loss Visual loss can be divided into four different types. Using simple exam techniques, the source of the visual loss can be localized, quickly narrowing the differential diagnosis. A simple way to organize the differential diagnosis of visual loss is to think of the visual axis from anterior to posterior: A. Anterior chamber: refractive error (cornea, lens) B. Anterior chamber: media opacity (lens, cornea) C. Retina or Optic Nerve disease D. Neurological deficit (posterior to CN II) A. Refractive Error B. Media Opacity C. Retina or Optic Nerve D. Neurological Deficit Location cornea, lens, eye length cornea, lens, anterior chamber, or vitreous retina or optic nerve optic chiasm, tracts, radiations or visual cortex

65. Review Of Optometry November 1999 Cover Focus: Headache Management An estimated 23.6 million Americans suffer from migraine headaches.22 Of these, 4 or 6 involved after headache), and retinal migraine (monocular vision http://www.revoptom.com/archive/issue/ro111f5osc.htm

Cover Focus: Headache Management How to Diagnose and Manage Headaches. A probing patient history can help you sort through the symptoms. by Leonid Skorin Jr., O.D., D.O., Dixon, Ill Almost everyone gets a headache at some point in his or her life. Nine out of 10 have at least one headache in any given year.1 Most people treat themselves. Others, maybe 5 to 15 percent, seek a physician's care. They account for some 18 million outpatient visits annually to hospitals and healthcare clinics. Most of these patients (90 percent) suffer from a vascular headache, a tension headache, or a mixture of the two. The others have conditions that lead to inflammation, traction or dilatation of pain-sensitive structures of the head and neck. Anytime a patient comes to you complaining of a headache, you're confronted with a wide range of diagnostic possibilities. Most people who seek attention for head pain have some sort of primary headache disorder, whether a migraine, tension-type or cluster headache. Often we're called upon to evaluate someone whose headache is accompanied by visual symptoms or discomfort in or around the eye. Always remember that a headache may be a symptom of a serious underlying condition calling for an immediate diagnostic workup and treatment. These cases often require laboratory and radiographic studies and a neurological consult. Clinical Evaluation The single most important tool for evaluating a headache is the patient's history. Since there's no objective way to measure headaches, the diagnosis rests in your ability to extract, dissect and organize relevant features of the patient's presentation.

66. MENIERES AND MIGRAINES Neurotology Of Migraine Robert W. Baloh, MD and calciumchannel blockers may prevent vasospasm of arteries to the inner ear just as they prevent vasospasm of retinal arteries in retinal migraine. http://www.menieres.org/jacki/jackis68.htm

MENIERES AND MIGRAINES Neurotology of Migraine Robert W. Baloh, MD Migraine is a disease characterized by periodic headaches, but patients often experience other symptoms including dizziness and hearing loss and, in some, these can be the only symptoms. Since most patients equate migraine with headache, it can be difficult to convince them that symptoms other than headache are due to migraine. Comments such as "But, doctor, I don't have a 'migraine' with my dizziness" or "I came to see you because of my dizziness. I haven't had a migraine for at least a year" are common in our Neurotology Clinic. Until we understand the pathophysiology of migraine, it will remain difficult to educate patients and their physicians on the relationship between migraine and neurotologic symptoms. Furthermore, there is debate as to whether migraine with aura (MA) and migraine without aura (MO) are distinct syndromes, different manifestations of the same disorder, or part of a continuum. Patients can have both types of attacks (with and without aura), and not infrequently, both types of migraine run in the same family (see below). The headache phases of both types of migraine are almost identical, and the same treatments are usually effective for both types of migraine. Conversely, certain epidemiological characteristics, overall familial aggregation, and varying pathophysiologic findings suggest that these two types of migraine may be separate entities. NEUROTOLOGIC SYMPTOMS AND MIGRAINE

67. MDchoice.com - Emergency Medicine retinal migraine occurs primarily in women older than age 45 and is associated with extensive scotomata and loss of vision. This aura may not be followed by http://mdchoice.com/emed/main.asp?template=0&page=detail&type=8&id=1037

68. MIGRAINE CLASSIFICATION AND DIAGNOSIS CRITERIA 1.3 Opthalmoplegic migraine; 1.4 retinal migraine; 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine http://www.pitt.edu/~elsst21/mcldi.html

MIGRAINE CLASSIFICATION AND DIAGNOSIS CRITERIA International Headache Society Classification of Migraine 1.1 Migraine without aura 1.2 Migraine with aura 1.2.1 Migraine with typical aura 1.2.2 Migraine with prolonged aura 1.2.3 Familial hemiplegic migraine 1.2.4 Basilar migraine 1.2.5 Migraine aura without headache 1.2.6 Migraine with acute onset aura 1.3 Opthalmoplegic migraine 1.4 Retinal migraine 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine 1.5.1 Benign paroxysmal vertigo of childhood 1.5.2 Alternating hemiplegia of childhood 1.6 Complications of migraine 1.6.1 Status migrainous 1.6.2 Migrainous infarction 1.7 Migrainous disorder not fulfilling above criteria International Headache Society Diagnosis Criteria for Migraine Without aura 1. At least 5 attacks fulfilling 2-4 2. Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated) 3. Headache has at least two of the following four characteristics: - unilateral location - pulsating quality - moderate or severe intensity which inhibits or prohibits daily activities - aggrevated by walking stairs or similar routine physical activity 4. During headache at least one of the two following symptoms occur:

69. Information 1.2 Migraine with aura 1.3 Ophthalmoplegic migraine 1.4 retinal migraine 1.5 Childhood periodic syndromes that may be precursors of migraine http://www.w-h-a.org/wha2/Newsite/resultsnav.asp?color=C2D9F2&idContentNews=381

70. Emergency Medicine Aspirin is also helpful in preventing retinal migraine, a form of migraine that occurs in older women who experience an aura but no migraine pain. http://www.emedmag.com/html/pre/fea/features/101503.asp

Understanding Migraine: Strategies for Prevention The authors explain the possible use of prophylactics ranging from antidepressants to botulinum toxin to limit the number, intensity, and duration of attacks. Also discussed are management of hormonally triggered migraine and special considerations for care of the pregnant migraineur. By Jeff Unger, MD, Roger K. Cady, MD, and Kathleen Farmer-Cady, PsyD Dr. Unger is director of the Chino Medical Group Headache Intervention Center in Chino, California. He is also a member of the EMERGENCY MEDICINE editorial board and an associate editor on the editorial board of THE FEMALE PATIENT, another Quadrant Healthcom, Inc., publication. Dr. Cady is the director and Dr. Farmer-Cady the administrator of the Headache Care Center at Primary Care Network, Inc., in Springfield, Missouri. They are also co-founders of the Primary Care Network. One of the most important contributions primary care can make in managing migraine is to prevent the evolution of the episodic syndrome of migraine into the biopsychosocial disease of chronic migraine. As with acute therapy, early interventions with education, lifestyle changes, and medications can prevent significant disability for this population of patients and decrease the impact of migraine on the health care system and society in general. Thus, migraine prevention is a critical component of care for the migraine patient.

71. Headache Australia - Migraine retinal migraine (with loss of vision in one eye). Symptom is loss of sight in one eye and normal vision in the other. The sight clears leaving an ache http://www.headacheaustralia.org.au/types_of_headache/migraine

Home About Us What is Headache Headache Types ... Site Map DHTML_MENU_rel_path = '/squizlib/dhtml_menu/images/'; Tension Migraine Cluster USERNAME: PASSWORD: Headache Australia relies on the generosity of the community. To support our work, please click below: Migraine - ‘a common and distressing disorder’ 'Migraine is a common and distressing disorder. It is not likely to take life but can destroy the quality of life at what might have been its most rewarding moments Studies have shown the incidence of migraine to be 9-10%, about 17% of the female population and 6% of the male population. So, about 2 million Australians can be expected to suffer from migraine, about 1.5 million women and about 500,000 men. It is thought that more women suffer migraine than men due to hormonal factors. 'Onset of migraine is from childhood onwards but most commonly in the 20s and 30s and relatively infrequently after the age of 40; therefore, prevalence increases from the first to fourth decades and thereafter declines. Migraine may nevertheless be a significant health issue among children Symptoms The International Headache Society classifies a headache as a migraine when: (a) the pain can be classified by at least two of the following;

72. The Physician And Sportsmedicine: Migraines In Active People Forms of this entity, called complicated migraine, include hemiplegic, ophthalmoplegic, basilar artery, and retinal migraine. These migraine attacks can be http://www.physsportsmed.com/issues/1996/12_96/diamond.htm

Managing Migraines in Active People Seymour Diamond, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 12 - DECEMBER 96 If your browser does not support tables click here. In Brief: Migraine patients who are physically active may find that exercise can provoke a migraine attack or that regular exercise helps reduce the severity of their headaches. After the diagnosis of migraine has been made with a complete history and physical examination, the next steps are to identify the triggers, such as certain foods or changes in sleep schedule, and design an individualized treatment plan. If exercise is a trigger, nondrug measures such as adequate warm-up, nutrition, and hydration during activity are important. Whether the triggers are exercise-related or not, exercise and other general measures may be beneficial adjuncts to the appropriate abortive, pain-relief, or prophylactic drug regimen. B ecause migraine is such a common disorder and because many Americans exercise regularly, it's likely that many migraine sufferers lead physically active lives. A migraine patient's exercise habits should be considered in devising a treatment plan, for several reasons. One is that vigorous exercise can trigger a migraine in some patients. A second is that the choice of pharmacologic therapy for migraine may influence the patient's ability to exercise. Finally, as a part of a balanced life-style, exercise may help prevent migraines or limit their severity. A recent epidemiologic study (1) estimates that the prevalence of migraine in the general population is 23% to 29% of women and 15% to 20% of men. Migraine has a major impact on the economy because of lost work days, lost income, and the money spent on medical care and drugs. Exercise, for some patients, is one more life element compromised by this condition.

73. Scope Of Work Ophthalmoplegic and retinal migraine Migraine following head injury Migraine in young children Hemiplegic migraine Stroke and transient ischemic attacks http://www.cochraneneuronet.org/livello2/scope_of_work2.html

Index of Diseases BACK to scope of work ACQUIRED METABOLIC DISORDERS MIGRAINE AND HEADACHE ALCOHOL AND ALCOHOLISM ... OTHERS ACQUIRED METABOLIC DISORDERS back to index Ischemic-Hypoxic encephalopathy Carbon Monoxide Poisoning High-Altitude sickness Hypercapnic pulmonary disease Hypoglycemic encephalopathy Hyperglycemia Hepatic stupor and coma (hepatic or portal-systemic encephalopathy) Uremic encephalopathy Encephalopathy associated with sepsis and burns Disorders of sodium, potassium and water balance Central pontine myelinolysis Chronic acquired (Non-Wilsonian) hepatocerebral degeneration Kernicterus Hypoparathyroidism Cerebellar ataxia associated with myxedema Effects of Hyperthermia on the Cerebellum Cerebellar syndromes associated with celiac-sprue and Jejunoileal bypass Cushing disease and corticosteroid psychoses Thyroid encephalopathies Pancreatic encephalopathy

74. Klasifikácia Bolesti 1.3 Ophtalmoplegic migraine. 1.4 retinal migraine. 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine http://www.edusan.sk/lekar/odbor_clanky/bolesti_hlavy.htm

HEADACHE CLASSIFICATION Headache Classification Committee of the International Headache Society 1. Migraine 1.1 Migraine without aura 1.2 Migraine with aura 1.2.1 Migraine with typical aura 1.2.2 Migraine with prolonged aura 1.2.3 Familial hemiplegic migraine 1.2.4 Basilar migraine 1.2.5 Migraine aura without headache 1.2.6 Migraine with acute onset aura 1.3 Ophtalmoplegic migraine 1.4 Retinal migraine 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine 1.5.1 Benign paroxysmal vertigo of childhood 1.5.2 Alternating hemiplegia of childhood 1.6 Complications of migraine 1.6.1 Status migrainosus 1.6.2 Migrainosus infarction 1.7 Migrainous disorder not fulfilling above criteria 2. Tension-type headache 2.1 Episodic tension-type headache 2.1.1 Episodic tension-type headache associated with disorder of pericranial muscles 2.1.2 Episodic tension-type headache unassociated with disorder of pericranial muscles 2.2 Chronic tension-type headache

75. Migraines: A Personal Perspective On A Complex Disorder opthalmoplegic migraine, and retinal migraine. Of these, the two most common subtypes are migraine with aura and migraine without aura. http://serendip.brynmawr.edu/bb/neuro/neuro02/web3/ppujara.html

This paper reflects the research and thoughts of a student at the time the paper was written for a course at Bryn Mawr College. Like other materials on Serendip , it is not intended to be "authoritative" but rather to help others further develop their own explorations. Web links were active as of the time the paper was posted but are not updated Contribute Thoughts Search Serendip for Other Papers Serendip Home Page Biology 202 ... 2002 Third Paper On Serendip Migraines: A Personal Perspective on a Complex Disorder Priya Pujara If I can only make it to my bed, I'll be fine. My head hurts terribly. I would do anything to stop the pain. I've taken three extra strength Tylenols and the pain hasn't diminished at all. My head is spinning. Ever so often, the world around me turns dim and then bright. I close my eyes. I need to lie down, but I am driving. I feel nauseous. The pain that started on one side of my head is spreading as it pulsates. I squeeze my head and rub my temples, but the pain remains. I wish for a lobotomy. I wish somebody could stop the pain. I'm home. I run to my room. I tie a rag tightly around my head. It doesn't

76. Headache Disorders: Currents: UI Health Care Migraine with aura. 1.3. Ophthalmoplegic. 1.4. retinal migraine. 1.5. Childhood periodic syndromes that may be precursors to or associated with migraine http://www.uihealthcare.com/news/currents/vol2issue3/3headache.html

This issue home CURRENTS Home Publishers Back Issues Send comments and questions to staff@uihealthcare.com University of Iowa, Iowa City, Iowa Currents: Summer 2001, Volume 2, Number 3 Treatment of resistant primary headache disorders Lynne Geweke, M. D. Highlights: Primary headache poses serious therapeutic problems because of insufficient knowledge about its etiology The IHS classification of headache has cleared the way to better diagnosis and, subsequently, to effective treatment approaches to primary headache The Headache Clinic at UI Hospitals and Clinics cares for patients with unusual and concerning headaches by using expertise and equipment to correctly diagnose headache and set up individualized treatment plans History: Headache is a symptom that can have many causes. It may occur in isolation or as a manifestation of an underlying disorder. While in the latter cases the cause will be identified sooner or later, in the former cases the cause remains a mystery. Therefore, classification of headache to aid in diagnosis and, subsequently, treatment cannot be based exclusively on etiologic criteria. As a result, the treatment of headache has long been empiric, and treatment paradigms have followed the evolution of our understanding of the biological processes associated with headache.

77. Eye Care Alternate name for ocular migraines is retinal migraines and Opthalmoplegic migraines. Ocular Migraines are visual disturbances in which visual images look http://www.eyecareindia.com/subcontents.asp?sectionid=5&subcontentid=102

78. PERRET OPTICIANS OCULAR SYMPTOMS Loss Of Vision retinal migraine is a spasm of the artery leading into the eye which supplies the retina. This spasm can lead to a temporary blackout of vision on one side http://www.perret-optic.ch/optometrie/symptomes_diagnostiques/symptomes/opto_sym

awmSelectedItem=13 var MenuLinkedBy='AllWebMenus [2]', awmBN='526'; awmAltUrl=''; Perret Opticians We have been opticians for three generations in our family, and our activity is targeted on three areas, optometry, contact lenses and optical instruments. F rench G erman OCULAR SYMPTOMS Loss of Vision Introduction Amaurosis fugax Retinal arteryocclusion Retinal vein occlusion ... Related Conditions Introduction : Loss of vision A loss of vision can be a frightening experience, and all people with a sudden loss of vision should be seen by an ophthalmologist as an emergencgy. Here, loss of vision refers to a severe blurring of the vision in one or both eyes often to the point that almost no detail can be made out. There may be large blind spots in the vision, or the appearance that something is blocking the vision. With these symptoms, there is almost always a cause for the visual loss other than a simple change in glasses. Many things that cause blurred vision can also cause a loss of vision, if the condition is severe enough. These conditions are discussed on the

79. Classification Of Visual Disturbances - Migraine Aura Information about migraine with aura for practicing neurologists and patients. The layout of the eccentric dimension of the retinal image is shown http://www.migraine-aura.org/EN/Classification_of_visual_disturbances.html

Search Sitemap Navigation home ... Classification Classification of visual disturbances About us Contact Readers' feedback Funding We subscribe to the HONcode principles. Verify here. Objectives Help us help Honors nominated for Migraine Stages Classification of visual disturbances Jochem Rieger Visual symptoms are by far most frequent. From those who suffer from migraine with aura almost everyone has experienced visual symptoms, and those with several types of aura symptoms have visual aura in many attacks, while other symptoms, like sensory, motor or aphasic aura are present only in a small number of their attacks (Russell and Olesen, 1996). This does not necessarily imply that that visual cortex is more susceptible for the aura, because a large cortical area is involved in visual processing (Tootell et al., 1996). Only about 3% of the total volume of the human cortex is occupied by the primary visual cortex, also called striate cortex, or V1. A much larger region is non-primary visual cortex (Sereno and Tootell, 2005). This "extra" non-primary cortex consists of multiple areas, denoted V2, V2, V3, V4, MST, MT, and by other abbreviations. Each area fulfills a rather specific functional task. It remains to be seen, whether the percentage area of cortex occupied by a specific sensory system matches the prevalence of the corresponding aura symptom.

80. HON: Vision And Eyecare FAQ: Section5 The differentiation between retinal and ocular migraine is how much of the visual field is With ocular migraine there can be retinal hemorrhages, http://www.hon.ch/Library/Theme/VisionFaq/section5.html

Vision and EyeCare FAQ Section 5: Disease of the Eye (Posterior Eye Disease) 5.1 Floaters and Spots in the Field of View Floaters (muscae volitantes - "flying flies") are spots before the eyes of different shapes, sizes and number. They appear often when looking at a plain coloured field of view, eg blue sky, a wall. Typically when the patient tries to look at them they report that the spots "run- away". The spots are due to corpuscles circulating in the retinal vessels and specks within the vitreous. These opacities cause shadows to be cast onto the retinal sensory apparatus; the rods and cones; and thereby appear as dark spots in the field of vision. Slight cases or observations require no treatment. There are other retinal and vitreous conditions that may cause increased presence of floaters indicative of more serious complications, for example, vitreous or retinal detachment. It is therefore advisable in the presence of an increased occurrence of floaters that you get a check-up by a eyecare professional. 5.2 Macular Degeneration

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