[An adult case of ophthalmoplegic migraine with the pseudo-Graefe sign].

PURPOSE

An adult case of ophthalmoplegic migraine is reported.

CASE

A 35-year-old man presented at our hospital with a 2-day history of double vision. He had a history of double vision following migraine which completely resolved within a week, occurring every few years since the age of 13. At the first visit, oculomotor nerve palsy with internal ophthalmoplegia was observed in his left eye. Magnetic resonance imaging and magnetic resonance angiography demonstrated no other abnormalities. After 3 months, the oculomotor nerve palsy was completely resolved, except for the pseudo-Graefe sign.

RESULTS

Ophthalmoplegic migraine may be occur in adults. Therefore, a detailed history is important for examination of painful ophthalmoplegia. The Pseudo-Graefe sign observed in our case suggested the existence of recurrent oculomotor nerve palsy, which is an important indicator for ophthalmoplegic migraine.