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ophthalmoplegic migraine

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With ophthalmoplegic migraine syndrome, the headache localises around one eye and it is followed hours later by a IIIrd or VIth nerve palsy on that side. The nerve palsy gradually improves over several days or weeks.

A Horner's syndrome may develop after several episodes.

This very rare migraine syndrome must be distinguished from a posterior communicating artery aneurysm. The aneurysm can compress the IIIrd cranial nerve.

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