دورية أكاديمية
Recurrent Painful Ophthalmoplegic Neuropathy: A case report with atypical features and a review of the literature.
| العنوان: | Recurrent Painful Ophthalmoplegic Neuropathy: A case report with atypical features and a review of the literature. |
|---|---|
| المؤلفون: | Furia A; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy., Liguori R; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.; Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Italia., Donadio V; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy. |
| المصدر: | Cephalalgia : an international journal of headache [Cephalalgia] 2023 Jan; Vol. 43 (1), pp. 3331024221133386. |
| نوع المنشور: | Case Reports; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Country of Publication: England NLM ID: 8200710 Publication Model: Print Cited Medium: Internet ISSN: 1468-2982 (Electronic) Linking ISSN: 03331024 NLM ISO Abbreviation: Cephalalgia Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Jan. 2010- : London : Sage Original Publication: Oslo : Universitetsforlaget. |
| مواضيع طبية MeSH: | Ophthalmoplegia*/complications , Ophthalmoplegia*/diagnosis , Ophthalmoplegic Migraine*/complications , Ophthalmoplegic Migraine*/diagnosis , Peripheral Nervous System Diseases*/complications, Adult ; Female ; Humans ; Middle Aged ; Headache/complications ; Magnetic Resonance Imaging |
| مستخلص: | Introduction: Recurrent Painful Ophthalmoplegic Neuropathy, previously known as Ophthalmoplegic Migraine, is a poorly characterized disorder mainly because there are few cases described. We report a new case of Recurrent Painful Ophthalmoplegic Neuropathy and a review of the literature to contribute to increasing the knowledge of the clinical features of this disorder. Case Report and Review of Literature: A 45-year-old woman presented with adult-onset recurrent attacks of abducens and oculomotor palsy associated with diplopia followed by headache. Most notably, pain always presented many days after oculomotor impairment, a feature never described in the literature. A diagnosis of possible Recurrent Painful Ophthalmoplegic Neuropathy was made after excluding other possible mimicking disorders. Symptoms usually resolved gradually with corticosteroid therapy, albeit without a clear-cut benefit.Clinical data collected from 1989 to 2022 showed that adult onset in Recurrent Painful Ophthalmoplegic Neuropathy is not uncommon. While III cranial nerve palsy is typical, VI and IV nerve palsy have also been described. Pathophysiology and Diagnosis: Several hypotheses have been proposed, including nerve compression, ischemia or inflammation/demyelination, but none has been completely accepted.Diagnosis remains of exclusion; magnetic resonance imaging and blood exams are key in differential diagnosis. Conclusions: Our case gives us the possibility to expand the clinical features of Recurrent Painful Ophthalmoplegic Neuropathy, also contributing to updating the pathophysiological hypotheses. |
| فهرسة مساهمة: | Keywords: Recurrent Painful Ophthalmoplegic Neuropathy; facial pain; headache; migraine; ophthalmoplegic migraine |
| SCR Disease Name: | Neuropathy, Painful; Ophthalmoplegia, painful |
| تواريخ الأحداث: | Date Created: 20230125 Date Completed: 20230126 Latest Revision: 20230208 |
| رمز التحديث: | 20230209 |
| DOI: | 10.1177/03331024221133386 |
| PMID: | 36694449 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!