Ophthalmoplegic Migraine
Ophthalmoplegia
Oculomotor Nerve
Migraine Disorders
Cranial Nerve Diseases
Migraine with Aura
Migraine without Aura
Ophthalmoplegic "migraine" or recurrent ophthalmoplegic cranial neuropathy: new cases and a systematic review. (1/2)
(+info)Adult-onset migraine-related ophthalmoplegia and omolateral fetal-type posterior cerebral artery. (2/2)
(+info)'Ophthalmoplegic migraine' is a term that was previously used to describe a condition characterized by headaches associated with one-sided paralysis of the nerves that control eye movement (ophthalmoplegia). This results in drooping of the eyelid, double vision, and pupil dilation on the affected side.
However, it's important to note that 'ophthalmoplegic migraine' is no longer considered a valid diagnosis by the International Headache Society (IHS) due to lack of clear understanding of its underlying pathophysiology. Instead, such cases are now more likely to be classified under other headache disorders, such as "migraine with brainstem aura" or "recurrent painful ophthalmoplegic neuropathy," depending on the specific symptoms and clinical presentation.
Therefore, it's best to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan based on the individual's symptoms and medical history.
Ophthalmoplegia is a medical term that refers to the paralysis or weakness of the eye muscles, which can result in double vision (diplopia) or difficulty moving the eyes. It can be caused by various conditions, including nerve damage, muscle disorders, or neurological diseases such as myasthenia gravis or multiple sclerosis. Ophthalmoplegia can affect one or more eye muscles and can be partial or complete. Depending on the underlying cause, ophthalmoplegia may be treatable with medications, surgery, or other interventions.
The oculomotor nerve, also known as the third cranial nerve (CN III), is a motor nerve that originates from the midbrain. It controls the majority of the eye muscles, including the levator palpebrae superioris muscle that raises the upper eyelid, and the extraocular muscles that enable various movements of the eye such as looking upward, downward, inward, and outward. Additionally, it carries parasympathetic fibers responsible for pupillary constriction and accommodation (focusing on near objects). Damage to this nerve can result in various ocular motor disorders, including strabismus, ptosis, and pupillary abnormalities.
A migraine disorder is a neurological condition characterized by recurrent headaches that often involve one side of the head and are accompanied by various symptoms such as nausea, vomiting, sensitivity to light and sound, and visual disturbances. Migraines can last from several hours to days and can be severely debilitating. The exact cause of migraines is not fully understood, but they are believed to result from a combination of genetic and environmental factors that affect the brain and blood vessels. There are different types of migraines, including migraine without aura, migraine with aura, chronic migraine, and others, each with its own specific set of symptoms and diagnostic criteria. Treatment typically involves a combination of lifestyle changes, medications, and behavioral therapies to manage symptoms and prevent future attacks.
Cranial nerve diseases refer to conditions that affect the cranial nerves, which are a set of 12 pairs of nerves that originate from the brainstem and control various functions in the head and neck. These functions include vision, hearing, taste, smell, movement of the eyes and face, and sensation in the face.
Diseases of the cranial nerves can result from a variety of causes, including injury, infection, inflammation, tumors, or degenerative conditions. The specific symptoms that a person experiences will depend on which cranial nerve is affected and how severely it is damaged.
For example, damage to the optic nerve (cranial nerve II) can cause vision loss or visual disturbances, while damage to the facial nerve (cranial nerve VII) can result in weakness or paralysis of the face. Other common symptoms of cranial nerve diseases include pain, numbness, tingling, and hearing loss.
Treatment for cranial nerve diseases varies depending on the underlying cause and severity of the condition. In some cases, medication or surgery may be necessary to treat the underlying cause and relieve symptoms. Physical therapy or rehabilitation may also be recommended to help individuals regain function and improve their quality of life.
"Migraine with Aura" is a neurological condition that is formally defined by the International Classification of Headache Disorders (ICHD) as follows:
"An migraine attack with focal neurological symptoms that usually develop gradually over 5 to 20 minutes and last for less than 60 minutes. Motor weakness is not a feature of the aura."
The symptoms of an aura may include visual disturbances such as flickering lights, zigzag lines, or blind spots; sensory disturbances such as tingling or numbness in the face, arms, or legs; and speech or language difficulties. These symptoms are caused by abnormal electrical activity in the brain and typically precede or accompany a migraine headache, although they can also occur without a headache.
It's important to note that not all people who experience migraines will have an aura, and some people may have an aura without a headache. If you are experiencing symptoms of a migraine with aura or any other type of headache, it is recommended that you consult with a healthcare professional for proper diagnosis and treatment.
"Migraine without Aura," also known as "Common Migraine," is defined by the International Classification of Headache Disorders (ICHD-3) as follows:
"Headaches fulfilling criteria C and D:
C. At least five attacks fulfilling criterion B
B. Headache lasting 4-72 hours (untreated or unsuccessfully treated)
1. a) Has at least two of the following characteristics:
b) One-sided location
c) Pulsating quality
d) Moderate or severe pain intensity
e) Aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs)
D. During headache at least one of the following:
1. a) Nausea and/or vomiting
2. b) Photophobia and phonophobia"
In simpler terms, Migraine without Aura is a recurring headache disorder characterized by moderate to severe headaches that typically occur on one side of the head, have a pulsating quality, and are aggravated by physical activity. The headaches last between 4 and 72 hours if not treated or if treatment is unsuccessful. Additionally, during the headache, at least one of the following symptoms must be present: nausea/vomiting, sensitivity to light (photophobia), or sensitivity to sound (phonophobia).