Ophthalmoplegic Migraine: Ischemic or Compressive Neuropathy?
Article first published online: 22 JUN 2005
Headache: The Journal of Head and Face Pain
Volume 20, Issue 6, pages 300–304, November 1980
How to Cite
Vijayan, N. (1980), Ophthalmoplegic Migraine: Ischemic or Compressive Neuropathy?. Headache: The Journal of Head and Face Pain, 20: 300–304. doi: 10.1111/j.1526-4610.1980.hed2006300.x
- Issue published online: 22 JUN 2005
- Article first published online: 22 JUN 2005
- Accepted for Publication: March 11, 1980
- Cited By
It is currently believed that the ophthalmoplegia in ophthalmoplegic migraine (O.M.) is due to compression of the cranial nerves by dilated and swollen carotid or basilar arteries. One of our patients seen recently did not fit the pattern of a compressive neuropathy because the pupil was spared during three episodes of O.M. A review of the literature revealed that contrary to common belief, the pupils are involved completely in only 33% of patients with O.M. Analysis of the clinical features and the relevant anatomy of the vascular supply of the third cranial nerve suggest that the ophthalmoplegia is due to a delayed ischemic neuropathy leading to border zone infarction of the nerve rather than direct compression due to an enlarged vessel.