Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood

The causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive lesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized by recurrent...

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Main Authors: Bengü Ekinci Kökteki, Şansal Gedik, Berker Bakbak
Format: Article
Language:English
Published: Galenos Yayinevi 2012-03-01
Series:Türk Oftalmoloji Dergisi
Subjects:
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author Bengü Ekinci Kökteki
Şansal Gedik
Berker Bakbak
author_facet Bengü Ekinci Kökteki
Şansal Gedik
Berker Bakbak
author_sort Bengü Ekinci Kökteki
collection DOAJ
description The causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive lesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized by recurrent attacks of headache and ophthalmoplegia that usually begins during childhood. Ophtalmoplegia occurs due to paresis or paralysis of cranial nerves 3, 4 or 6. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may demonstrate permanent defects. In this paper, we discuss the case of an 11-year-old patient, who was admitted to our outpatient clinic with the complaints of right ptosis, mydriasis and severe headache. Ophthalmologic examination revealed oculomotor nerve palsy, the patient was diagnosed as having ophthalmoplegic migraine and medical treatment was started. Her complaints have regressed with medication for migraine and recovered completely in 8 weeks. In this case report, painful ophthalmoplegia during childhood and its possible causes are discussed. (Turk J Ophthalmol 2012; 42: 159-62)
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spelling doaj.art-4ac4c4f8832b4ce3a9a4e09f96e594452023-02-15T16:20:48ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612012-03-0142215916210.4274/tjo.42.16362Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in ChildhoodBengü Ekinci Kökteki0Şansal Gedik1Berker Bakbak2Selçuk Üniversitesi Selçuklu Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeSelçuk Üniversitesi Selçuklu Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeSelçuk Üniversitesi Selçuklu Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeThe causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive lesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized by recurrent attacks of headache and ophthalmoplegia that usually begins during childhood. Ophtalmoplegia occurs due to paresis or paralysis of cranial nerves 3, 4 or 6. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may demonstrate permanent defects. In this paper, we discuss the case of an 11-year-old patient, who was admitted to our outpatient clinic with the complaints of right ptosis, mydriasis and severe headache. Ophthalmologic examination revealed oculomotor nerve palsy, the patient was diagnosed as having ophthalmoplegic migraine and medical treatment was started. Her complaints have regressed with medication for migraine and recovered completely in 8 weeks. In this case report, painful ophthalmoplegia during childhood and its possible causes are discussed. (Turk J Ophthalmol 2012; 42: 159-62)Oculomotor nerve palsyophthalmoplegic migraine
spellingShingle Bengü Ekinci Kökteki
Şansal Gedik
Berker Bakbak
Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
Türk Oftalmoloji Dergisi
Oculomotor nerve palsy
ophthalmoplegic migraine
title Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
title_full Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
title_fullStr Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
title_full_unstemmed Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
title_short Painful Ophthalmoplegia Manifesting with Third Nerve Palsy in Childhood
title_sort painful ophthalmoplegia manifesting with third nerve palsy in childhood
topic Oculomotor nerve palsy
ophthalmoplegic migraine
work_keys_str_mv AT benguekincikokteki painfulophthalmoplegiamanifestingwiththirdnervepalsyinchildhood
AT sansalgedik painfulophthalmoplegiamanifestingwiththirdnervepalsyinchildhood
AT berkerbakbak painfulophthalmoplegiamanifestingwiththirdnervepalsyinchildhood