@article {Vieira:October 2008:0017-8748:1372, author = "Vieira, Jose Pedro", author = "Castro, Jorge", author = "Gomes, Leonor Bastos", author = "Jacinto, Sandra", author = "Dias, Ana", title = "Ophthalmoplegic Migraine and Infundibular Dilatation of a Cerebral Artery", journal = "Headache: The Journal of Head and Face Pain", volume = "48", year = "October 2008", abstract = "Ophthalmoplegic migraine (OM) is a childhood disorder of uncertain etiology manifesting recurrent unilateral headache associated with a transitory oculomotor (usually IIIrd nerve) palsy. Recent publications emphasize the finding on MRI of contrast enhancement in the IIIrd nerve suggesting that OM may be a recurrent inflammatory neuropathy.

We report the case of a 7-year-old boy with typical symptoms of this disorder. Angio MR and Angio CT revealed the presence of an infundibular dilatation of a perforating branch of the posterior cerebral artery adjacent to the symptomatic IIIrd nerve. We speculate that this and perhaps other cases of OM may have a different pathophysiology related to compression of the IIIrd nerve by an adjacent vascular structure that could activate the trigeminovascular system and produce migrainous pain.", pages = "1372-1374(3)", url = "http://www.ingentaconnect.com/content/bsc/hed/2008/00000048/00000009/art00011" doi = "doi:10.1111/j.1526-4610.2008.01179.x" }