We describe a child who presented with ophthalmoplegic migraine and was demonstrated to have a deficiency of the near triad documented by eye movement and pupillary recordings. [ncbi.nlm.nih.gov]

Her clinical presentation and imaging were felt to be consistent with inflammatory neuritis, most likely post viral. [morancore.utah.edu]

• Vomiting

  And the headache had couple of features similar to that of migraine, such as past history of recurrent migraine attacks, accompaniments of nausea, vomiting, and phonophobia, response to flunarizine and sodium valproate. [ncbi.nlm.nih.gov]

  G43.A0 Cyclical vomiting, not intractable G43.A1 Cyclical vomiting, intractable G43.B Ophthalmoplegic migraine G43.B1 Ophthalmoplegic migraine, intractable G43.C Periodic headache syndromes in child or adult G43.C0 Periodic headache syndromes in child [healthprovidersdata.com]

  G43.A0 Cyclical vomiting, not intractable Inclusion term(s): Cyclical vomiting, without refractory migraine G43.A1 Cyclical vomiting, intractable Inclusion term(s): Cyclical vomiting, with refractory migraine G43.B Ophthalmoplegic migraine G43.B0 Ophthalmoplegic [icd10coded.com]

  History 38 yo nurse Previous medical history unremarkable –ruptured ovarian cysts 1997 und 2000 –gastritis 18 years ago –history of migrene 1-2 ictus/year Present clinical presentation increasing left frontal headache initially retrobulbar acute nausea, vomiting [ismrmforms.org]

  not intractable, with status migrainosus G43A09Cyclical vomiting, not intractable, without status migrainosus G43A11Cyclical vomiting, intractable, with status migrainosus G43A19Cyclical vomiting, intractable, without status migrainosus G43B01Ophthalmoplegic [cms.gov]

• Nausea

  And the headache had couple of features similar to that of migraine, such as past history of recurrent migraine attacks, accompaniments of nausea, vomiting, and phonophobia, response to flunarizine and sodium valproate. [ncbi.nlm.nih.gov]

  Medical History 38 yo nurse Previous medical history unremarkable –ruptured ovarian cysts 1997 und 2000 –gastritis 18 years ago –history of migrene 1-2 ictus/year Present clinical presentation increasing left frontal headache initially retrobulbar acute nausea [ismrmforms.org]

  Nausea, vomiting, and sensitivity to light (photophobia) often accompany migraine without aura. Abdominal migraine is most common in children with a family history of migraine. [healthcommunities.com]

  Symptoms generally last one to 72 hours and include nausea, vomiting, and flushing. [healthline.com]

  He has had classic migraine headaches with photophobia and nausea for many years. Medications: Acetaminophen, as needed, with no relief of symptoms. [webeye.ophth.uiowa.edu]

• Loss of Appetite

  Sensitivity to light, noise and odors Nausea and vomiting, stomach upset, abdominal pain Loss of appetite Feeling very warm (sweating) or cold (chills) Pale color (pallor) Feeling tired Dizziness Blurred vision Tender scalp Diarrhea (rare) Fever (rare [my.clevelandclinic.org]

  Repeated attacks of headache Moderately or severely painful Frequent or infrequent Last a few hours to a couple of days Often only one side of the head hurts Often experience loss of appetite, nausea, and vomiting World Federation of Neurology 3 [slideshare.net]

• Angioedema

  Cicardi M, Aberer W, Banerji A, Bas M, Bernstein JA, et al. (2014) Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group. Allergy 69:602-616. [omicsonline.org]

• Diplopia

  Both had had previous shorter episodes of diplopia following migraine-like headaches. One recovered following an injection of botulinum toxin to the medial rectus of her affected eye 11 months after the onset of diplopia. [ncbi.nlm.nih.gov]

  30-year-old male with migraine headaches and occasional diplopia March 7, 2005 Chief Complaint: 30-year-old male presents with a history of migraine headaches associated on two occasions with diplopia lasting for 2-4 weeks. [webeye.ophth.uiowa.edu]

• Photophobia

  […] nurse Previous medical history unremarkable –ruptured ovarian cysts 1997 und 2000 –gastritis 18 years ago –history of migrene 1-2 ictus/year Present clinical presentation increasing left frontal headache initially retrobulbar acute nausea, vomiting, photophobia [ismrmforms.org]

  Other research suggests that migraine photophobia is caused by melanopsin-containing retinal ganglion cells, which mediate light input. [mdedge.com]

  He also had vomiting and photophobia. Later the intensity of headache decreased and it became dun ache. He was admitted to a service hospital where clinical exam revealed partial ptosis. exotropia, weak adduction. supra and infraduction of left eye. [docksci.com]

  He has had classic migraine headaches with photophobia and nausea for many years. Medications: Acetaminophen, as needed, with no relief of symptoms. [webeye.ophth.uiowa.edu]

  […] known as hemicrania simplex) is a specific neurological disorder characterized by recurrent, throbbing headaches that often affect one side of the head (i.e., it is unilateral), are of at least moderate intensity, and may cause nausea, phonophobia or photophobia [diki.pl]

• Scotoma

  Visual migraines result from cortical spreading depression and are also commonly termed scintillating scotoma. [en.wikipedia.org]

  Symptoms When ocular migraine appears, photopsy (visual aura), as well as scintillating scotoma. What is it? We explain that scotomas are blind spots in the field of vision. [en.triandgo.com]

  Scintillating scotoma was consistently absent. This attack lasted for about a week and recurred every few months. [webview.isho.jp]

  Most common premonitory symptoms are visual: Scotomas in central portion of visual field Hallucinations Fortification spectrum (paracentral scotoma which expands into a “C” shape with luminous angles at the enlarging outer border) 16. 1 Migraine originates [slideshare.net]

  The patient may be aware of a dark spot (positive scotoma); or he/she may not be aware of the blank spot, bump into objects, or have the impression that objects disappear (negative scotoma). [biusante.parisdescartes.fr]

• Painful Ophthalmoplegia

  Recurrent painful ophthalmoplegia started in infancy in two cases, childhood in two instances and adult life in one. One child had his first attacks at 3, 5 and 12 months of age, on each occasion 10 days after an injection of triple vaccine. [ncbi.nlm.nih.gov]

  The original observ... more We present two patients with recurrent painful ophthalmoplegia starting in early childhood. Clinically, both patients fulfilled the criteria for ophthalmoplegic migraine. [scinapse.io]

  Clinicopathological correlation in a case of painful ophthalmoplegia: Tolosa-Hunt syndrome. J Neurol Neurosurg Psychiat 1989; 52:1290–3. Hannerz J. Pain characteristics of painful ophthalmoplegia (the Tolosa-Hunt syndrome). [yumpu.com]

  Mucocele of the sphenoidal sinus or tumors or inflammatory lesions that invade the cavernous sinus can cause painful ophthalmoplegia. [pediatricneurosciences.com]

  Painful ophthalmoplegia: an unresolved clinical problem. [eanpages.org]

• Scintillating Scotoma

  Visual migraines result from cortical spreading depression and are also commonly termed scintillating scotoma. [en.wikipedia.org]

  Symptoms When ocular migraine appears, photopsy (visual aura), as well as scintillating scotoma. What is it? We explain that scotomas are blind spots in the field of vision. [en.triandgo.com]

  Scintillating scotoma was consistently absent. This attack lasted for about a week and recurred every few months. [webview.isho.jp]

  Most auras are visual and are described as bright shimmering lights around objects or at the edges of the field of vision (called scintillating scotomas) or zigzag lines, castles (teichopsia), wavy images or hallucinations. [healthcommunities.com]

  The most common aura is visual, which is commonly experienced as a central zig-zag figure traveling into the peripheral vision, transforming into an angulated shape with a scintillating edge (the “scintillating scotoma”). [aao.org]

• Headache

  This case report indicates that OM may exist as an entity and some OM may be wrongly grouped under the category of RPON in the current international headache classification. [ncbi.nlm.nih.gov]

• Dizziness

  Basilar Migraine This usually causes dizziness and vertigo before the headache. However, it may also cause loss of coordination, ringing in ears or speech problems. It mimics a stroke. [migrainescenter.org]

  I get my other traditional migraine symptoms; occasional nausea, a sense of unreality, spaciness, phantom scents, dizziness, sensitivity to light, a "tight" feeling beforehand and a "loose, floating" feeling after. [forums.intpcomplex.com]

  Basilar migraine Basilar migraine, also known as Bickerstaff syndrome, typically causes dizziness and vertigo prior to a headache. [healthline.com]

  Arachnoid cysts of the cranial posterior fossa may produce symptoms tpical of a tumour such as headache dizziness Results of a complete physical head and neck examination were normal. [11let.eu]

  The onset of the headache may be associated with temporary numbness, dizziness or vision changes. Retinal migraine. [my.clevelandclinic.org]

• Vertigo

  Vertigo is a common complaint for many people with migraine, but frequent and recurring episodes of vertigo may be caused by a problem in the lower part of the brain. [healthline.com]

  Vertebrobasilar Migraine A vertebrobasilar or vertiginous migraine is preceded by dizziness or vertigo. It is important to note that frequent and recurrent periods of vertigo may be caused by an issue in the lower part of the brain. [migrainescenter.org]

  Symptoms include severe headache, vertigo, double vision, slurred speech and poor muscle coordination. This type occurs primarily in young people. [healthcommunities.com]

  Benign paroxysmal vertigo of childhood Benign paroxysmal vertigo of childhood (BPVC) is characterized by brief episodes of vertigo and disequilibrium lasting for hours, without headache, aura, hearing loss, or tinnitus. [emedicine.medscape.com]

• Cranial Nerve Involvement

  Sixth and fourth cranial nerve can be involved rarely, but other cranial nerve involvement has not been reported [1,4,5,7]. [medcraveonline.com]

  […] are described in which cranial nerve involvement accompanied a more generalized neuropathy. [scinapse.io]

  We should also consider the allergic mechanism that caused the cranial nerve palsy by analogy to the cranial palsies observed during inflammatory polyneuropathies [ 16 ] that also involve humoral and cell-mediated immunity. [omicsonline.org]

  The 3 rd cranial nerve is commonly involved in recurrent attacks. Involvement of the sixth and fourth nerves is uncommon. GdMRI discloses enhancement of the nerves. Adult cases are rare and confined to case reports. [neurologyindia.com]

  MR brain scan (any ocular motor nerve may be involved) OMLH with onset in adult life (above 15 years age) (commonly sixth cranial nerve involved) Without nerve thickening or enhancement (common) With nerve thickening and/or enhancement (uncommon) Diagnostic [annalsofian.org]

• Polyradiculoneuropathy

  We present 3 patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with extensive and diffuse hypertrophy of the nerve roots and peripheral nerves. [scinapse.io]

MRI of the brain post enhancement is a useful adjunct in the diagnosis and treatment of ophthalmoplegic migraine and should be considered as part of a workup of ophthalmoplegic migraine in children. [ncbi.nlm.nih.gov]

Discussion The differential diagnoses and workup of an isolated sixth nerve palsy usually depends on the age and the clinical circumstances of the patient. [dovepress.com]

The cerebral MRI, left temporal artery biopsy and blood workup at the time were unremarkable apart from a hypercholesterolemia. [eanpages.org]

Gastroenterologic evaluation and workup typically yield unremarkable results. [48] Abdominal migraine symptoms are usually relieved with sleep. Antiemetics may help in aborting an acute attack. [emedicine.medscape.com]

• HLA-B27

  All of them were HLA-B27 positive whereas one healthy sibling was HLA-B27 negative. [ncbi.nlm.nih.gov]

Ophthalmoplegia resolved spontaneously in 1 child and after steroid treatment in the other. Both postresolution MRIs demonstrated decrease in enhancement and thickening of the third nerve. [ncbi.nlm.nih.gov]

The episode resolved without treatment over about one week. [morancore.utah.edu]

This critical review provides a summary of the clinical presentation, neuroimaging, treatment and prognosis in pediatric ophthalmoplegic migraine (OM). The features of OM are not in keeping with its classification as a migraine-variant. [ncbi.nlm.nih.gov]

Yet the effects were either unclear, not beneficial or even harmful in 35%, 8%, and 4% respectively.4 Prognosis: Prognosis in OM/RPON is generally excellent and most patients can experience a full recovery in days to weeks. [morancore.utah.edu]

Medicines used to treat retinal migraines include aspirin, other NSAIDS, and medicines that reduce high blood pressure. [4] Prognosis [ edit ] In general, the prognosis for retinal migraine is similar to that of migraine headache with typical aura. [en.wikipedia.org]

The prognosis is favourable unless very frequent attacks occur. Palsies of other cranial nerves like trochlear, abducens and first division of trigeminal nerve have been described [6]. REFERENCES I. Robertson WC Jr. Schnintzler ER. [docksci.com]

The etiology remains unclear, but may involve recurrent bouts of demyelination of the oculomotor nerve. "Ophthalmoplegic migraine" is a misnomer in that it is probably not a variant of migraine but rather a recurrent cranial neuralgia. [ncbi.nlm.nih.gov]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Thus major advances in headache epidemiology may be expected to occur when migraine is defined by a laboratory finding'. ‏ [books.google.com]

Juvenile myoclonic epilepsy: epidemiology, pathophysiology, and management. [smartscitech.com]

Epidemiology and genetics of cluster headache. Lancet Neurol. 2004;3(5):279-283. 24. Mitsikostas DD, Edvinsson L, Jensen RH, et al. [midolordecabeza.org]

An epidemiological survey of hemiplegic migraine. Cephalalgia 2002; 22: 361-375. 40. [psjd.icm.edu.pl]

A genetic epidemiological study. Cephalalgia 1996;16:431-5. [ihs-klassifikation.de]

Implications from this finding are discussed in relation to the pathophysiology of ophthalmoplegic migraine. [ncbi.nlm.nih.gov]

Thus, medication for migraine prophylaxis might be needed to prevent RPON. KEYWORDS: headache; migraine; mydriasis; oculomotor palsy; ophthalmoplegic migraine; recurrent painful ophthalmoplegic neuropathy [ncbi.nlm.nih.gov]

Certain natural treatments, such as riboflavin (vitamin B2) and coenzyme Q10, may help prevent migraines. If your magnesium level is low, you can try taking magnesium. There is also an herb, butterbur, which some people take to prevent migraines. [icdlist.com]

Thus, medication for migraine prophylaxis might be needed to prevent RPON. [jstage.jst.go.jp]

Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. ‏ [books.google.com]