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<meta name="DC.Title" content="Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images." />
<meta name="DC.Date" content="1998-11-01" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
<meta name="DC.Rights" content="Copyright © American Society of Neuroradiology" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE Ophthalmoplegic migraine is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. We report six patients with typical clinical features of this disorder in whom enhancement of the cisternal segment of the oculomotor nerve developed during the acute phase, followed by resolution of enhancement over several weeks as the symptoms resolved.

METHODS Six patients, ages 3 to 27 years, underwent MR imaging during the acute phase of ophthalmoplegic migraine and at the time of recovery several weeks later. The MR studies, performed on a 1.5-T MR unit, included noncontrast and contrast-enhanced axial and coronal T1-weighted sequences. Sagittal images were obtained in two patients, with and without contrast enhancement.

RESULTS Enhancement of the cisternal segment of the oculomotor nerve was seen in all patients at initial presentation. Contrast-enhanced studies also showed focal thickening at the exit of the nerve in the interpeduncular cistern in five of six patients. No patient had enhancement of the cavernous sinus or adjacent dura. Enhancement was almost completely resolved on follow-up studies 7 to 9 weeks later.

CONCLUSION Our findings confirm an intrinsic transient abnormality in the cisternal segment of the third nerve in patients with a typical clinical presentation of ophthalmoplegic migraine." />
<meta name="DC.Contributor" content="A S Mark" />
<meta name="DC.Contributor" content="J Casselman" />
<meta name="DC.Contributor" content="D Brown" />
<meta name="DC.Contributor" content="J Sanchez" />
<meta name="DC.Contributor" content="M Kolsky" />
<meta name="DC.Contributor" content="T C Larsen" />
<meta name="DC.Contributor" content="P Lavin" />
<meta name="DC.Contributor" content="B Ferraraccio" />
<meta name="article:published_time" content="1998-11-01" />
<meta name="citation_title" content="Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images." />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;BACKGROUND AND PURPOSE&lt;/h3&gt;
&lt;p&gt;Ophthalmoplegic migraine is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. We report six patients with typical clinical features of this disorder in whom enhancement of the cisternal segment of the oculomotor nerve developed during the acute phase, followed by resolution of enhancement over several weeks as the symptoms resolved.&lt;/p&gt;&lt;h3&gt;METHODS&lt;/h3&gt;
&lt;p&gt;Six patients, ages 3 to 27 years, underwent MR imaging during the acute phase of ophthalmoplegic migraine and at the time of recovery several weeks later. The MR studies, performed on a 1.5-T MR unit, included noncontrast and contrast-enhanced axial and coronal T1-weighted sequences. Sagittal images were obtained in two patients, with and without contrast enhancement.&lt;/p&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;
&lt;p&gt;Enhancement of the cisternal segment of the oculomotor nerve was seen in all patients at initial presentation. Contrast-enhanced studies also showed focal thickening at the exit of the nerve in the interpeduncular cistern in five of six patients. No patient had enhancement of the cavernous sinus or adjacent dura. Enhancement was almost completely resolved on follow-up studies 7 to 9 weeks later.&lt;/p&gt;&lt;h3&gt;CONCLUSION&lt;/h3&gt;
&lt;p&gt;Our findings confirm an intrinsic transient abnormality in the cisternal segment of the third nerve in patients with a typical clinical presentation of ophthalmoplegic migraine.&lt;/p&gt;" />
<meta name="citation_journal_title" content="American Journal of Neuroradiology" />
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<meta name="citation_author" content="A S Mark" />
<meta name="citation_author" content="J Casselman" />
<meta name="citation_author" content="D Brown" />
<meta name="citation_author" content="J Sanchez" />
<meta name="citation_author" content="M Kolsky" />
<meta name="citation_author" content="T C Larsen" />
<meta name="citation_author" content="P Lavin" />
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<meta name="twitter:title" content="Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images." />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE Ophthalmoplegic migraine is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. We report six patients with typical clinical features of this disorder in whom enhancement of the cisternal segment of the oculomotor nerve developed during the acute phase, followed by resolution of enhancement over several weeks as the symptoms resolved.

METHODS Six patients, ages 3 to 27 years, underwent MR imaging during the acute phase of ophthalmoplegic migraine and at the time of recovery several weeks later. The MR studies, performed on a 1.5-T MR unit, included noncontrast and contrast-enhanced axial and coronal T1-weighted sequences. Sagittal images were obtained in two patients, with and without contrast enhancement.

RESULTS Enhancement of the cisternal segment of the oculomotor nerve was seen in all patients at initial presentation. Contrast-enhanced studies also showed focal thickening at the exit of the nerve in the interpeduncular cistern in five of six patients. No patient had enhancement of the cavernous sinus or adjacent dura. Enhancement was almost completely resolved on follow-up studies 7 to 9 weeks later.

CONCLUSION Our findings confirm an intrinsic transient abnormality in the cisternal segment of the third nerve in patients with a typical clinical presentation of ophthalmoplegic migraine." />
<meta name="og-title" property="og:title" content="Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images." />
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<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE Ophthalmoplegic migraine is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. We report six patients with typical clinical features of this disorder in whom enhancement of the cisternal segment of the oculomotor nerve developed during the acute phase, followed by resolution of enhancement over several weeks as the symptoms resolved.

METHODS Six patients, ages 3 to 27 years, underwent MR imaging during the acute phase of ophthalmoplegic migraine and at the time of recovery several weeks later. The MR studies, performed on a 1.5-T MR unit, included noncontrast and contrast-enhanced axial and coronal T1-weighted sequences. Sagittal images were obtained in two patients, with and without contrast enhancement.

RESULTS Enhancement of the cisternal segment of the oculomotor nerve was seen in all patients at initial presentation. Contrast-enhanced studies also showed focal thickening at the exit of the nerve in the interpeduncular cistern in five of six patients. No patient had enhancement of the cavernous sinus or adjacent dura. Enhancement was almost completely resolved on follow-up studies 7 to 9 weeks later.

CONCLUSION Our findings confirm an intrinsic transient abnormality in the cisternal segment of the third nerve in patients with a typical clinical presentation of ophthalmoplegic migraine." />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node6448--5" data-node-nid="6448" id="top-node-6448--62040275467" data-pisa="ajnr;19/10/1887" data-pisa-master="ajnr;19/10/1887" data-apath="/ajnr/19/10/1887.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
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      <h1 class="highwire-cite-title" id="page-title">Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast-enhanced MR images.</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">A S Mark</span>, <span class="highwire-citation-author" data-delta="1">J Casselman</span>, <span class="highwire-citation-author" data-delta="2">D Brown</span>, <span class="highwire-citation-author" data-delta="3">J Sanchez</span>, <span class="highwire-citation-author" data-delta="4">M Kolsky</span>, <span class="highwire-citation-author" data-delta="5">T C Larsen</span>, <span class="highwire-citation-author" data-delta="6">P Lavin</span> and <span class="highwire-citation-author" data-delta="7">B Ferraraccio</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">November 1998,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">19 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(10) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1887-1891; </span></div>
  
  
  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 19</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 10 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Nov 1998 </div></div>
      
      
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">A S</span> <span class="nlm-surname">Mark</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">J</span> <span class="nlm-surname">Casselman</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">D</span> <span class="nlm-surname">Brown</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">J</span> <span class="nlm-surname">Sanchez</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">M</span> <span class="nlm-surname">Kolsky</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">T C</span> <span class="nlm-surname">Larsen</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">P</span> <span class="nlm-surname">Lavin</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">B</span> <span class="nlm-surname">Ferraraccio</span></span></span></div>
  
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