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Am J Ophthalmol. 1999 Nov;128(5):658-60.

Oculomotor nerve schwannoma associated with ophthalmoplegic migraine.

Author information

1
Midwest Eye Institute, Clarian Hospitals of Indiana, Department of Ophthalmology and Neurology, Indiana University Medical Center, Indianapolis, USA.

Abstract

PURPOSE:

To describe a patient with an oculomotor nerve schwannoma who had symptoms of ophthalmoplegic migraine.

METHODS:

Case report.

RESULTS:

A 23-year-old woman had a history of recurrent headache accompanied by transient right oculomotor palsy since age 7 years. Ophthalmoplegic migraine was diagnosed. She was subsequently found to have a structural lesion of her right oculomotor nerve on magnetic resonance imaging. The magnetic resonance image characteristics were consistent with schwannoma originating from the oculomotor nerve.

CONCLUSIONS:

This case illustrates that an intrinsic lesion of the oculomotor nerve (schwannoma) may be associated with a painful relapsing-remitting oculomotor palsy mimicking the clinical syndrome of ophthalmoplegic migraine.

PMID:
10577548
[Indexed for MEDLINE]
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