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眼肌麻痹性偏头痛是头痛伴有动眼神经功能障碍。眼肌麻痹性偏头痛在成人和儿童是少见的,当伴有间歇性动眼神经功能障碍如上眼睑下垂、瞳孔散大、眼球向下向外偏斜,特别是如有偏头痛家族史,则提示眼肌麻痹性偏头痛的诊断。病例5个月女孩。因有激惹和突然右侧上眼睑下垂而入院。在眼睑下垂1～2天前即出现激惹。体检示右侧完全性动眼神经麻痹。右眼向下向外偏斜,瞳孔极度散大,直接或间接对光反应消失。右侧呈完全性眼睑下垂,眼底检查双侧正常,左眼动眼功能正常。实验室和放射线检查正常,包括全血常规、血沉、尿和脑脊液分析、双侧颈动脉血管照影、脑电图
Optic Paralysis Migraine is a headache accompanied by oculomotor dysfunction. Ophthalmoplegia Migraine is uncommon in adults and children with intermittent oculomotor dysfunction such as ptosis, mydriasis, and downward eyeball deflection, especially if there is a family history of migraine Prompt diagnosis of ophthalmoplegia migraine. Case 5 months girl. Due to irritation and sudden right eyelid ptosis and hospitalization. In the ptosis 1 to 2 days before the emergence of irritation. Physical examination on the right complete oculomotor nerve paralysis. Right eye downward outward skewed, the pupil is extremely large, direct or indirect reaction to light disappear. Complete right eyelid ptosis on the right, normal bilateral fundus examination, left eye movement is normal. Laboratory and radiological examination was normal, including whole blood routine, ESR, urine and cerebrospinal fluid analysis, bilateral carotid artery angiography, EEG