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Ophthalmoplegic Migraine (Recurrent Painful Ophthalmoplegic Neuropathy)

A rare entity in which extraocular muscle palsy occurs together with headache.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Ophthalmoplegic Migraine (Recurrent Painful Ophthalmoplegic Neuropathy)?

Ophthalmoplegic migraine is a rare entity characterized by unilateral severe headache accompanied by transient oculomotor (usually third cranial nerve) palsy. In current classifications it is considered 'recurrent painful ophthalmoplegic neuropathy'.

Clinically, eyelid drooping, restricted eye movements, and double vision occur with the attacks. Symptoms are seen mostly in children and young adults.

Serious causes such as aneurysms, tumors, and infections must be excluded in the diagnosis. The first attack requires emergency imaging and neurological evaluation.

Symptoms

Unilateral severe headache
Eyelid drooping (ptosis)
Restricted eye movements
Double vision
Pupil dilation
Nausea, vomiting
Attacks lasting several days and recurring

Risk Factors

Childhood and young adulthood
History of migraine-like headache
Family history of migraine
Hormonal changes
Stress and sleep irregularity
Recent minor infections
Individual triggers

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • First-time headache with eye-muscle palsy (urgent)
  • Development of double vision or eyelid drooping
  • Attacks become more frequent or longer
  • Accompanying neurological signs
  • Recurrence despite treatment

Treatment Methods

01
Exclusion of causes with brain and orbital MRI
02
Corticosteroid treatment (during attacks)
03
Migraine prophylaxis
04
Pain management
05
Close neurological and ophthalmological follow-up
06
Regular check-ups after attacks

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.