Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2342
Título: Ophthalmoplegic Migraine and Infundibular Dilatation of a Cerebral Artery
Autor: Vieira, JP
Castro, J
Gomes, LB
Jacinto, S
Dias, AI
Palavras-chave: Cerebral Arterial Diseases/complications
Cerebral Arterial Diseases/radiography
Dilatation, Pathologic/complications
Flunarizine/therapeutic use
Migraine Disorders/drug therapy
Migraine Disorders/etiology
Oculomotor Nerve Diseases/complications
Oculomotor Nerve Diseases/radiography
Prednisone/therapeutic use
Vasodilator Agents/therapeutic use
Child
HDE NEU PED
Data: Out-2008
Editora: Wiley Periodicals, Inc.
Citação: Headache 2008;48:1372-1376
Resumo: Ophthalmoplegic migraine (OM) is a childhood disorder of uncertain etiology manifesting recurrent unilateral headache associated with a transitory oculomotor (usually IIIrd nerve) palsy. Recent publications emphasize the finding on MRI of contrast enhancement in the IIIrd nerve suggesting that OM may be a recurrent inflammatory neuropathy. We report the case of a 7-year-old boy with typical symptoms of this disorder. Angio MR and Angio CT revealed the presence of an infundibular dilatation of a perforating branch of the posterior cerebral artery adjacent to the symptomatic IIIrd nerve. We speculate that this and perhaps other cases of OM may have a different pathophysiology related to compression of the IIIrd nerve by an adjacent vascular structure that could activate the trigeminovascular system and produce migrainous pain.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2342
DOI: 10.1111/j.1526-4610.2008.01179.x
Aparece nas colecções:NEU PED - Artigos

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