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Internal ophthalmoplegic migraine during pregnancy: a clinical case

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datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorCastillo-Guerrero, Brenda
dc.contributor.authorLondoño-Juliao, Gloria
dc.contributor.authorpianetta, yesenia
dc.contributor.authorGutiérrez-Rey, Melissa
dc.contributor.authorZuñiga, Bley Jair
dc.contributor.authorPestana, Gustavo
dc.contributor.authorCarbonell-Zabaleta, Ana-Karina
dc.contributor.authorRivera-Porras, Diego
dc.contributor.authorBermudez, Valmore
dc.contributor.authorVARGAS MANOTAS, JOSE
dc.date.accessioned2025-12-05T14:41:26Z
dc.date.available2025-12-05T14:41:26Z
dc.date.issued2025
dc.description.abstractAbstract: Background: Ophthalmoplegic migraine (OM) is an uncommon variant of migraine characterised by headache and cranial nerve palsy, posing significant diagnostic and therapeutic challenges. Objective: This study aimed to describe an extremely rare OM variant with a partial therapeutic response. Clinical Case: A 34-year-old pregnant woman in gestational week 19.1 (G6P2A3) with a history of three consecutive spontaneous abortions presented at the emergency services with insidious onset and mild-to-moderate-intensity pulsatile bifrontal headache for 15 days, and the positional changes exacerbated this. At peak intensity, she experienced nausea, vomiting, tinnitus, and photophobia without phonophobia or osmophobia, prompting multiple visits to the emergency department. Despite a broad range of treatments, including intravenous fluids, analgesia, pericranial blocks, and preventive management, there was a non-significative improvement in the symptomatology described above. However, spontaneous resolution of this clinical picture was observed during the postpartum period. Results: This case highlights the complexity of ophthalmoplegic migraine, especially in the context of pregnancy, and raises questions about the underlying pathophysiological mechanisms. The absence of structural lesions on neuroimaging and postpartum resolution suggests a potential association with the hormonal and physiological changes associated with pregnancy. Conclusions: Despite limited scientific evidence, this report contributes to expanding the knowledge of this rare entity and emphasises the importance of a multidisciplinary approach to its management.eng
dc.format.mimetypepdf
dc.identifier.citationCastillo-Guerrero, B.; Londoño-Juliao, G.; Pianetta, Y.; Gutiérrez-Rey, M.; Zuñiga, B.J.; Pestana, G.; Carbonell-Zabaleta, A.-K.; Rivera-Porras, D.; Bermúdez, V.; Vargas-Manotas, J. Internal Ophthalmoplegic Migraine During Pregnancy: A Clinical Case. Neurol. Int. 2024, 16, 1779–1787. https://doi.org/10.3390/neurolint16060128eng
dc.identifier.doihttps://doi.org/10.3390/neurolint16060128
dc.identifier.issn20358377 (Electrónico)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/17170
dc.identifier.urlhttps://www.mdpi.com/2035-8377/16/6/128#
dc.language.isoeng
dc.publisherMDPIspa
dc.publisherEdiciones Universidad Simón Bolívarspa
dc.publisherFacultad de Ciencias de la Saludspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationaleng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceNeurology Internationaleng
dc.sourceNeurol. Int.eng
dc.sourceVol. 16 No. 6  Año 2024spa
dc.subject.keywordsOphthalmoplegic migraineeng
dc.subject.keywordsPregnancyeng
dc.subject.keywordsCephalalgiaeng
dc.subject.keywordsPersistent mydriasiseng
dc.subject.keywordsPaineng
dc.subject.keywordsCentral nervous systemeng
dc.titleInternal ophthalmoplegic migraine during pregnancy: a clinical casespa
dc.type.driverinfo:eu-repo/semantics/other
dc.type.spaOtros
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oaire.versioninfo:eu-repo/semantics/publishedVersion
sb.programaEspecialización en Neurologíaspa
sb.sedeSede Barranquillaspa

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