Ostergaard J R, Møller H U, Christensen T
Department of Paediatrics, Arhus Kommunehospital, University Hospital of Aarhus, Denmark.
Cephalalgia. 1996 Jun;16(4):276-9. doi: 10.1046/j.1468-2982.1996.1604276.x.
We present two patients with recurrent painful ophthalmoplegia starting in early childhood. Clinically, both patients fulfilled the criteria for ophthalmoplegic migraine. In one case, magnetic resonance investigations were performed following the second attack, between the third and fourth and during the fourth attack. The left third cranial nerve was significantly thickened in its course from the brainstem through the prepontine cistern to the cavernous sinus during the attacks and moderately thickened between the attacks. In the second case, magnetic resonance imaging was performed during the 14th attack, when the oculomotor nerve dysfunction was almost permanent, and the imaging demonstrated a swollen oculomotor nerve. Whether these findings are pathognomonic of ophthalmoplegic migraine awaits further reports using magnetic resonance imaging in infants showing recurrent painful ophthalmoplegia of early onset.
我们报告了两名自幼儿期起就出现复发性疼痛性眼肌麻痹的患者。临床上，两名患者均符合眼肌麻痹性偏头痛的标准。在其中一例中，在第二次发作后、第三次和第四次发作之间以及第四次发作期间进行了磁共振检查。发作期间，左侧第三脑神经从脑干穿过脑桥前池至海绵窦的行程明显增粗，发作间期中度增粗。在第二例中，在第14次发作期间进行了磁共振成像，此时动眼神经功能障碍几乎呈永久性，成像显示动眼神经肿胀。这些发现是否为眼肌麻痹性偏头痛的特征性表现，有待更多关于婴儿早期发作的复发性疼痛性眼肌麻痹的磁共振成像报告。
