Ophthalmoplegic Migraine With Reversible Enhancement of Intraparenchymal Abducens Nerve on MRI


Address all correspondence to Dr. Te Gyu Lee, Department of Neurology, Kyung-Hee University Hospital, 1 Hoe-gi-dong, Seoul, 130-702, Korea.


We describe a patient with ophthalmoplegic migraine and right abducens nerve palsy, in whom serial magnetic resonance imaging showed a transient, gadolinium-enhancing lesion in the right lower pons, during both headache and the headache-free period. The enhancing linear lesion was felt to represent intraparenchymal fibers of the affected abducens nerve. The possible pathophysiology of this unique finding is discussed.