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5. Venous angioma associated with atypical ophthalmoplegic migraine.

Author

Berbel-Garcia A, Martinez-Salio A, Porta-Etessam J, Saiz-Diaz R, Gonzalez-León P, Ramos A, and Campollo J

Subjects
Adolescent, Female, Humans, Central Nervous System Venous Angioma complications, Migraine Disorders etiology, Ophthalmoplegia etiology
Abstract

Background: Ophthalmoplegic migraine is a rare syndrome in which episodic headaches are associated with ophthalmoplegia. Several recent reports emphasize the possibility, especially in atypical cases, of a heterogeneous type of ophthalmoplegic migraine., Methods: We describe the case of an 18-year-old woman with recurrent episodic headache accompanied by binocular diplopia due to left third cranial nerve palsy. The symptoms resolve in hours. A diagnosis of atypical ophthalmoplegic migraine was established., Results: Digital angiography revealed a venous angioma draining into the left cavernous sinus., Conclusions: This case reveals the importance of differential diagnosis in atypical migraine in which the symptomatology could be secondary to intracranial lesions. We propose venous stasis as a cause of symptoms.

Published
2004
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