Pediatric Neurology
Volume 42, Issue 6 , Pages 434-436, June 2010

Computed Tomography and Magnetic Resonance Imaging Findings in Ophthalmoplegic Migraine

  • Laura Miglio, MD

      Affiliations

    • Department of Pediatric Radiology, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
  • ,
  • Paola Feraco, MD

      Affiliations

    • Department of Neuroradiology, Bellaria Hospital, Bologna, Italy
  • ,
  • Giovanni Tani, MD

      Affiliations

    • Department of Pediatric Radiology, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
  • ,
  • Paolo Ambrosetto, MD

      Affiliations

    • Department of Neuroradiology, Bellaria Hospital, Bologna, Italy
    • Corresponding Author InformationCommunications should be addressed to: Dr. Ambrosetto; Division of Pediatric Neuroradiology, Dipartimento di Scienze Neurologiche; Bologna University; Via Ugo Foscolo 7; 40123 Bologna, Italy.

Received 13 November 2009; accepted 22 February 2010.

A patient with ophthalmoplegic migraine is described, and his computed tomography and magnetic resonance imaging findings are discussed. According to our results, triad migraine, third nerve palsy, and focal enhancement of an enlarged third cranial nerve at the root exit zone should be considered pathognomonic of the disease, and further examinations should be avoided. Pathogenetic theories of the disease are discussed, and we suggest a new pathogenetic theory.

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PII: S0887-8994(10)00085-8

doi:10.1016/j.pediatrneurol.2010.02.005

Pediatric Neurology
Volume 42, Issue 6 , Pages 434-436, June 2010