An ophthalmoplegic migraine means
Ophthalmoplegic migraine is characterized by recurrent attacks of ophthalmoplegia, following severe migrainous headaches. The condition almost always begins in childhood, and is considered to be rare in adults. However, OM may occur for the first time in adult life. The typical clinical picture of OM includes a child with severe migraine that lasts for several days and is followed soon after, by ptosis and diplopia due to isolated oculomotor nerve palsy, as the headache remits. Pupillary involvement with a 'full blown' pupil is the rule in children.However, pupillary sparing is not uncommon, especially in adults. Abducens nerve involvement is uncommon and trochlear nerve palsy is rare. Recovery is the rule. Rarely, deficits persist after multiple attacks. ref - pubmed.com
When headache is followed by complete paralysis of the III rd and VI nerve on the same side as the hemicrania.
When the headache is followed by paial paralysis of the IIIrd nerve on the same side as the hemicrania with out any scotoma.
Headache associated with IIIrd, IVth and VIth nerve paralysis.
Headache associated with optic neuritis
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