Dr. Anjana R., A17979, Dr. Savithiri Visvanathan, Dr. (Mrs) P S Maheswari
Migraine with ophthalmoplegia is a rare presentation with an incidence of 0.7 per million, common in paediatric age group. Occulomotor nerve is most commonly involved , followed by abducent nerve and trochlear nerve. A 32 year female,a known case of classic migraine, came with binocular diplopia in left gaze and abduction deficit in left eye two days after onset of left sided migranous headache .This resolved spontaneously in 5 days . She had a similar episode , two years back,of abduction deficit in left eye 4 days after onset of headache which resolved spontaneously in a week. Neuroimaging and CSF analysis were normal .ICHD II diagnostic criteria for ophthalmoplegic migraine was satisfied.