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01-10-2021 | Oculomotor Nerve Palsy | Neuro-Images

Neuro-image: recurrent painful ophthalmoplegic neuropathy

Authors: Johannes Devos, Céline Nysten, Gunnar Buyse, Catherine Cassiman, Philippe Demaerel

Published in: Acta Neurologica Belgica | Issue 5/2021

Excerpt

Recurrent painful ophthalmoplegic neuropathy (RPON), previously known as ophthalmoplegic migraine, presents with recurrent unilateral headaches with associated ipsilateral ocular cranial nerve palsy. MRI features are present in 28% of cases, more often in children, and show nodular thickening and enhancement along the root entry zone (REZ) [1, 5]. Regression of contrast enhancement in the asymptomatic period is the discriminating feature in comparison to neoplastic processes or infection [1]. In most cases there is complete resolution of symptoms. We present two patients with atypical MRI features. …

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Förderreuther S, Ruscheweyh R (2015) From ophthalmoplegic migraine to cranial neuropathy. Curr Pain Headache Rep. https://doi.org/10.1007/s11916-015-0492-1https://pubmed.ncbi.nlm.nih.gov/26021754/

Gelfand AA, Gelfand JM, Prabakhar P, Goadsby PJ (2012) Ophthalmoplegic migraine or recurrent ophthalmoplegic cranial neuropathy: new cases and a systematic review. J Child Neurol. https://doi.org/10.1177/0883073811426502http://journals.sagepub.com/doi/10.1177/0883073 811426502

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Title: Neuro-image: recurrent painful ophthalmoplegic neuropathy
Authors: Johannes Devos
Céline Nysten
Gunnar Buyse
Catherine Cassiman
Philippe Demaerel
Publication date: 01-10-2021
Publisher: Springer International Publishing
Keywords: Oculomotor Nerve Palsy
Migraine
Diplopia
Headache
Published in: Acta Neurologica Belgica / Issue 5/2021
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-021-01762-7

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Neuro-image: recurrent painful ophthalmoplegic neuropathy

Excerpt

At a glance: The STEP trials

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