Ophthalmoplegic migraine: a recurrent demyelinating neuropathy?

Ophthalmoplegic migraine: a recurrent demyelinating neuropathy?
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DOI:
10.1046/j.1468-2982.2001.00160.x
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发表时间:
2001-03-01
期刊:
影响因子:
4.9
通讯作者:
Zagami, AS
Zagami, AS
中科院分区:
医学2区
文献类型:
--
作者:
Lance, JW;Zagami, AS

文献摘要

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磁共振成像(MRI)扫描显示,在诊断为“眼肌麻痹性偏头痛”的患者中,眼神经池部分增厚和增强,这促使人们重新考虑这种不常见的疾病。本文报告5例患者的病史,其中3例男性,2例女性,年龄从6岁到30岁不等。复发性疼痛性眼肌麻痹开始于婴儿期的两例,儿童期的两例和成人生活中的一个。一名儿童在3个月、5个月和12个月时首次发病,每次都是在注射三联疫苗后10天。这种情况的可能性是一个复发性脱髓鞘神经病变被认为是其可能的关系偏头痛探讨。
The demonstration by magnetic resonance imaging (MRI) scanning of thickening and enhancement of the cisternal part of the oculomotor nerve in patients diagnosed as 'ophthalmoplegic migraine' prompts reconsideration of this uncommon disorder. The case histories of five patients, three male and two female, varying in age from 6 to 30 years, are presented here. Recurrent painful ophthalmoplegia started in infancy in two cases, childhood in two instances and adult life in one. One child had his first attacks at 3, 5 and 12 months of age, on each occasion 10 days after an injection of triple vaccine. The possibility of this condition being a recurrent demyelinating neuropathy is considered and its possible relationship to migraine explored.