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Ophthalmoplegic Migraine and Infundibular Dilatation of a Cerebral Artery

dc.contributor.authorVieira, JP
dc.contributor.authorCastro, J
dc.contributor.authorGomes, LB
dc.contributor.authorJacinto, S
dc.contributor.authorDias, AI
dc.date.accessioned2015-11-13T11:41:38Z
dc.date.available2015-11-13T11:41:38Z
dc.date.issued2008-10
dc.description.abstractOphthalmoplegic 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.pt_PT
dc.identifier.citationHeadache 2008;48:1372-1376pt_PT
dc.identifier.doi10.1111/j.1526-4610.2008.01179.xpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2342
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley Periodicals, Inc.pt_PT
dc.subjectCerebral Arterial Diseases/complicationspt_PT
dc.subjectCerebral Arterial Diseases/radiographypt_PT
dc.subjectDilatation, Pathologic/complicationspt_PT
dc.subjectFlunarizine/therapeutic usept_PT
dc.subjectMigraine Disorders/drug therapypt_PT
dc.subjectMigraine Disorders/etiologypt_PT
dc.subjectOculomotor Nerve Diseases/complicationspt_PT
dc.subjectOculomotor Nerve Diseases/radiographypt_PT
dc.subjectPrednisone/therapeutic usept_PT
dc.subjectVasodilator Agents/therapeutic usept_PT
dc.subjectChildpt_PT
dc.subjectHDE NEU PEDpt_PT
dc.titleOphthalmoplegic Migraine and Infundibular Dilatation of a Cerebral Arterypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1376pt_PT
oaire.citation.startPage1372pt_PT
oaire.citation.volume48pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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