Ophthalmoplegia starting with a headache circumscribed in a line-shaped area: a subtype of ophthalmoplegic migraine?
Ophthalmoplegia starting with a headache circumscribed in a line-shaped area: a subtype of ophthalmoplegic migraine?
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眼肌麻痹始于线形区域内的头痛：眼肌麻痹性偏头痛的亚型？
DOI：
10.1186/1129-2377-15-19
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发表时间：
2014-04-16
期刊：
影响因子：
--
通讯作者：
Lu YN
中科院分区：
文献类型：
--
作者：
Wang Y;Wang XH;Tian MM;Xie CJ;Liu Y;Pan QQ;Lu YN
复发性痛性眼肌麻痹性神经病（RPON），以前称为眼肌麻痹性偏头痛（OM），是一种罕见的疾病，其特征是单侧头痛和同侧眼神经麻痹。第三脑神经是最常见的参与复发性发作。但是，偏头痛或眼神经病变是否可能是这种疾病的主要原因仍然存在争议。在这里，我们报告一个老年患者谁有复发性眼肌麻痹开始与单侧头痛局限于一个地区的形状在一条线连接后顶叶区和同侧眼。头痛有几个类似于偏头痛的特征，如过去反复发作的偏头痛发作史，恶心，呕吐和声音恐惧症的症状，对氟桂利嗪和丙戊酸钠的反应。我们可以在此报告OM的亚型，但不是RPON。该病例报告表明OM可能作为一个实体存在，并且在当前的国际头痛分类中，一些OM可能被错误地归入RPON类别。
Recurrent painful ophthalmoplegic neuropathy (RPON), formerly named ophthalmoplegic migraine (OM), is a rare condition characterized by the association of unilateral headaches and the ipsilateral oculomotor nerve palsy. The third cranial nerve is most commonly involved in the recurrent attacks. But it is still debated whether a migraine or an oculomotor neuropathy may be the primary cause of this disorder. Here, we report an elder patient who had a recurrent ophthalmoplegia starting with an unilateral headache circumscribed in an area shaped in a line linking the posterior-parietal region and the ipsilateral eye. And the headache had couple of features similar to that of migraine, such as past history of recurrent migraine attacks, accompaniments of nausea, vomiting, and phonophobia, response to flunarizine and sodium valproate. We may herein report a subtype of OM but not a RPON. This case report indicates that OM may exist as an entity and some OM may be wrongly grouped under the category of RPON in the current international headache classification.
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影响因子：
3.7
作者：
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影响因子：
11.2
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