Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Recurrent Painful Ophthalmoplegic Neuropathy: a Case Report

  • Park, Jae Hwi (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Lee, Ho Kyu (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Koh, Myeong Ju (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Oh, Jung Hwan (Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Park, Sung Joo (Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine)
  • Received : 2019.04.23
  • Accepted : 2019.05.27
  • Published : 2019.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Upon review, it is noted that recurrent painful ophthalmoplegic neuropathy (RPON) is a rare neurological syndrome characterized by recurrent unilateral headaches and painful ophthalmoplegia of the ipsilateral oculomotor nerve. As seen on brain MRI, thickening and enhancement of the oculomotor cranial nerve can be observed in these cases. We experienced a case of RPON in an adult patient who showed thickening and enhancement of the oculomotor nerve on gadolinium-enhanced 3D-FLAIR image. The authors report a case of RPON with a review of the literature.

Keywords

References

  1. Gelfand AA, Gelfand JM, Prabakhar P, Goadsby PJ. Ophthalmoplegic "migraine" or recurrent ophthalmoplegic cranial neuropathy: new cases and a systematic review. J Child Neurol 2012;27:759-766 https://doi.org/10.1177/0883073811426502
  2. The international classification of headache disorders 3rd edition. International headache society web site. https://www.ichd-3.org/13-painful-cranial-neuropathies-andother-facial-pains/13-10-burning-mouth-syndrome-bms/. Published 2018. Accessed June 12, 2019
  3. Bharucha DX, Campbell TB, Valencia I, Hardison HH, Kothare SV. MRI findings in pediatric ophthalmoplegic migraine: a case report and literature review. Pediatr Neurol 2007;37:59-63 https://doi.org/10.1016/j.pediatrneurol.2007.03.008
  4. Mark AS, Casselman J, Brown D, et al. Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images. AJNR Am J Neuroradiol 1998;19:1887-1891
  5. Kivrak AS, Nayman A, Paksoy Y, Ozturk S. Magnetic resonance findings in recurrent painful ophthalmoplegic neuropathy with reversible enhancement of oculomotor nerve. Eur J Gen Med 2015;15:64-66
  6. Miglio L, Feraco P, Tani G, Ambrosetto P. Computed tomography and magnetic resonance imaging findings in ophthalmoplegic migraine. Pediatr Neurol 2010;42:434-436 https://doi.org/10.1016/j.pediatrneurol.2010.02.005
  7. Park JW, Moon HS, Kim JM, Lee KS, Chu MK. Chronic daily headache in Korea: prevalence, clinical characteristics, medical consultation and management. J Clin Neurol 2014;10:236-243 https://doi.org/10.3988/jcn.2014.10.3.236
  8. Lim HK, Lee JH, Hyun D, et al. MR diagnosis of facial neuritis: diagnostic performance of contrast-enhanced 3D-FLAIR technique compared with contrast-enhanced 3D-T1-fast-field echo with fat suppression. AJNR Am J Neuroradiol 2012;33:779-783 https://doi.org/10.3174/ajnr.A2851
  9. Naganawa S, Sugiura M, Kawamura M, Fukatsu H, Nakashima T, Maruyama K. Prompt contrast enhancement of cerebrospinal fluid space in the fundus of the internal auditory canal: observations in patients with meningeal diseases on 3D-FLAIR images at 3 Tesla. Magn Reson Med Sci 2006;5:151-155 https://doi.org/10.2463/mrms.5.151