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Recurrent painful ophthalmoplegic migraine with sixth nerve palsy in a child

A 10-year-old girl had infrequent attacks of recurrent painful ophthalmoplegia affecting the right sixth nerve. She also experienced migraine headaches without ophthalmoparesis, and her mother had migraines without aura. There is a right lateral rectus palsy and enhancement of the prepontine right abducens nerve during an attack, which resolved when symptoms remitted. (Contributed by Vivek Lal MD.)

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Associated Disorders

  • Migraine with aura
  • Migraine without aura