Internal Ophthalmoplegia in Complicated Migraine: A Case Report


  • G. Bussone,

  • L. La Mantia,

  • L. Grazzi,

  • E. Lamperti,

  • A. Boiardi



A 25 year old woman with a history of migraine came to our observation complaining of blurred vision and mydriasis in the right eye, starting several hours after a typical attack of common migraine had resolved. We believe this to be a case of ophthalmoplegic migraine characterized by only an isolated internal ophthalmoplegia without external third nerve involvement.

Differential diagnosis and possible pathogenetic aspects are discussed.