Magnetic resonance imaging in ophthalmoplegic migraine of children

Mary A O'Hara, Robert T. Anderson, Douglas Brown

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: To present 2 children with ophthalmoplegic migraine and characteristic magnetic resonance imaging (MRI) findings post enhancement with gadopentetate dimeglumine diethylenetriamine pentaacetic acid (Gd-DTPA). Methods: Two patients, ages 3 years and 7 years, underwent MRI during the acute phases of a recurring oculomotor palsy. MRI was repeated several weeks later as symptoms resolved. Results: In both cases, enhancement and thickening of the cisternal segment of the oculomotor nerve were present at initial presentation. Ophthalmoplegia resolved spontaneously in 1 child and after steroid treatment in the other. Both postresolution MRIs demonstrated decrease in enhancement and thickening of the third nerve. Conclusions: The enhancing, thickened lesion identified on MRI in our patients may represent an inflammatory process similar to Tolosa-Hunt syndrome occurring in the interpeduncular segment of the oculomotor nerve. Patients with ophthalmoplegic migraine may, therefore, benefit from the use of steroids. MRI of the brain post enhancement is a useful adjunct in the diagnosis and treatment of ophthalmoplegic migraine and should be considered as part of a workup of ophthalmoplegic migraine in children.

Original languageEnglish (US)
Pages (from-to)307-310
Number of pages4
JournalJournal of AAPOS
Volume5
Issue number5
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

Fingerprint

Ophthalmoplegic Migraine
Magnetic Resonance Imaging
Oculomotor Nerve
Tolosa-Hunt Syndrome
Steroids
Ophthalmoplegia
Pentetic Acid
Gadolinium DTPA
Paralysis
Brain
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

Cite this

Magnetic resonance imaging in ophthalmoplegic migraine of children. / O'Hara, Mary A; Anderson, Robert T.; Brown, Douglas.

In: Journal of AAPOS, Vol. 5, No. 5, 01.01.2001, p. 307-310.

Research output: Contribution to journalArticle

O'Hara, Mary A ; Anderson, Robert T. ; Brown, Douglas. / Magnetic resonance imaging in ophthalmoplegic migraine of children. In: Journal of AAPOS. 2001 ; Vol. 5, No. 5. pp. 307-310.
@article{56a857433c864b31a695d7314bf7e588,
title = "Magnetic resonance imaging in ophthalmoplegic migraine of children",
abstract = "Purpose: To present 2 children with ophthalmoplegic migraine and characteristic magnetic resonance imaging (MRI) findings post enhancement with gadopentetate dimeglumine diethylenetriamine pentaacetic acid (Gd-DTPA). Methods: Two patients, ages 3 years and 7 years, underwent MRI during the acute phases of a recurring oculomotor palsy. MRI was repeated several weeks later as symptoms resolved. Results: In both cases, enhancement and thickening of the cisternal segment of the oculomotor nerve were present at initial presentation. Ophthalmoplegia resolved spontaneously in 1 child and after steroid treatment in the other. Both postresolution MRIs demonstrated decrease in enhancement and thickening of the third nerve. Conclusions: The enhancing, thickened lesion identified on MRI in our patients may represent an inflammatory process similar to Tolosa-Hunt syndrome occurring in the interpeduncular segment of the oculomotor nerve. Patients with ophthalmoplegic migraine may, therefore, benefit from the use of steroids. MRI of the brain post enhancement is a useful adjunct in the diagnosis and treatment of ophthalmoplegic migraine and should be considered as part of a workup of ophthalmoplegic migraine in children.",
author = "O'Hara, {Mary A} and Anderson, {Robert T.} and Douglas Brown",
year = "2001",
month = "1",
day = "1",
doi = "10.1067/mpa.2001.118670",
language = "English (US)",
volume = "5",
pages = "307--310",
journal = "Journal of AAPOS",
issn = "1091-8531",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Magnetic resonance imaging in ophthalmoplegic migraine of children

AU - O'Hara, Mary A

AU - Anderson, Robert T.

AU - Brown, Douglas

PY - 2001/1/1

Y1 - 2001/1/1

N2 - Purpose: To present 2 children with ophthalmoplegic migraine and characteristic magnetic resonance imaging (MRI) findings post enhancement with gadopentetate dimeglumine diethylenetriamine pentaacetic acid (Gd-DTPA). Methods: Two patients, ages 3 years and 7 years, underwent MRI during the acute phases of a recurring oculomotor palsy. MRI was repeated several weeks later as symptoms resolved. Results: In both cases, enhancement and thickening of the cisternal segment of the oculomotor nerve were present at initial presentation. Ophthalmoplegia resolved spontaneously in 1 child and after steroid treatment in the other. Both postresolution MRIs demonstrated decrease in enhancement and thickening of the third nerve. Conclusions: The enhancing, thickened lesion identified on MRI in our patients may represent an inflammatory process similar to Tolosa-Hunt syndrome occurring in the interpeduncular segment of the oculomotor nerve. Patients with ophthalmoplegic migraine may, therefore, benefit from the use of steroids. MRI of the brain post enhancement is a useful adjunct in the diagnosis and treatment of ophthalmoplegic migraine and should be considered as part of a workup of ophthalmoplegic migraine in children.

AB - Purpose: To present 2 children with ophthalmoplegic migraine and characteristic magnetic resonance imaging (MRI) findings post enhancement with gadopentetate dimeglumine diethylenetriamine pentaacetic acid (Gd-DTPA). Methods: Two patients, ages 3 years and 7 years, underwent MRI during the acute phases of a recurring oculomotor palsy. MRI was repeated several weeks later as symptoms resolved. Results: In both cases, enhancement and thickening of the cisternal segment of the oculomotor nerve were present at initial presentation. Ophthalmoplegia resolved spontaneously in 1 child and after steroid treatment in the other. Both postresolution MRIs demonstrated decrease in enhancement and thickening of the third nerve. Conclusions: The enhancing, thickened lesion identified on MRI in our patients may represent an inflammatory process similar to Tolosa-Hunt syndrome occurring in the interpeduncular segment of the oculomotor nerve. Patients with ophthalmoplegic migraine may, therefore, benefit from the use of steroids. MRI of the brain post enhancement is a useful adjunct in the diagnosis and treatment of ophthalmoplegic migraine and should be considered as part of a workup of ophthalmoplegic migraine in children.

UR - http://www.scopus.com/inward/record.url?scp=85047684741&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047684741&partnerID=8YFLogxK

U2 - 10.1067/mpa.2001.118670

DO - 10.1067/mpa.2001.118670

M3 - Article

C2 - 11641641

AN - SCOPUS:85047684741

VL - 5

SP - 307

EP - 310

JO - Journal of AAPOS

JF - Journal of AAPOS

SN - 1091-8531

IS - 5

ER -