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http://hdl.handle.net/10400.17/2342
Título: | Ophthalmoplegic Migraine and Infundibular Dilatation of a Cerebral Artery |
Autor: | Vieira, JP Castro, J Gomes, LB Jacinto, S Dias, AI |
Palavras-chave: | Cerebral Arterial Diseases/complications Cerebral Arterial Diseases/radiography Dilatation, Pathologic/complications Flunarizine/therapeutic use Migraine Disorders/drug therapy Migraine Disorders/etiology Oculomotor Nerve Diseases/complications Oculomotor Nerve Diseases/radiography Prednisone/therapeutic use Vasodilator Agents/therapeutic use Child HDE NEU PED |
Data: | Out-2008 |
Editora: | Wiley Periodicals, Inc. |
Citação: | Headache 2008;48:1372-1376 |
Resumo: | Ophthalmoplegic migraine (OM) is a childhood disorder of uncertain etiology manifesting recurrent unilateral headache associated with a transitory oculomotor (usually IIIrd nerve) palsy. Recent publications emphasize the finding on MRI of contrast enhancement in the IIIrd nerve suggesting that OM may be a recurrent inflammatory neuropathy. We report the case of a 7-year-old boy with typical symptoms of this disorder. Angio MR and Angio CT revealed the presence of an infundibular dilatation of a perforating branch of the posterior cerebral artery adjacent to the symptomatic IIIrd nerve. We speculate that this and perhaps other cases of OM may have a different pathophysiology related to compression of the IIIrd nerve by an adjacent vascular structure that could activate the trigeminovascular system and produce migrainous pain. |
Peer review: | yes |
URI: | http://hdl.handle.net/10400.17/2342 |
DOI: | 10.1111/j.1526-4610.2008.01179.x |
Aparece nas colecções: | NEU PED - Artigos |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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Headache 2008_48_1372.pdf | 75,91 kB | Adobe PDF | Ver/Abrir |
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