Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review
Joint Authors
Petruzzelli, Maria Giuseppina
Margari, Lucia
Margari, Mariella
Furente, Flora
Costanza, Maria Carmela
Legrottaglie, Anna Rosi
Dicuonzo, Franca
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-25
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Recurrent painful ophthalmoplegic neuropathy (RPON), previously known as ophthalmoplegic migraine (OM), is an uncommon disorder with repeated episodes of ocular cranial nerve neuropathy associated with ipsilateral headache.
The age of presentation is most often during childhood or adolescence.
MRI has a central role in the assessment of the RPON, especially to distinguish orbital, parasellar, or posterior fossa lesions that mimic symptoms of RPON.
Actually, oculomotor nerve tumors may be masquerade as RPON so that MRI follow-ups are required to detect the possibility of tumor etiology.
Case presentation.
We report a 16-year-old boy with a 7-year follow-up and multiple brain MRI data, previously diagnosed as OM.
The last brain MRI, performed during an acute phase of oculomotor paresis with ipsilateral headache, showed a nodular lesion described as schwannoma of III cranial nerve.
Then, we reviewed the literature on OM and RPON in pediatric age with a focus on brain MRI findings.
Conclusions.
This review highlights the important role of serial brain MRIs in the long-term follow-up of RPON, especially in the cases with childhood onset, in order to not delay the diagnosis of a possible oculomotor nerve schwannoma.
American Psychological Association (APA)
Petruzzelli, Maria Giuseppina& Margari, Mariella& Furente, Flora& Costanza, Maria Carmela& Legrottaglie, Anna Rosi& Dicuonzo, Franca…[et al.]. 2019. Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review. Pain Research and Management،Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1207288
Modern Language Association (MLA)
Petruzzelli, Maria Giuseppina…[et al.]. Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review. Pain Research and Management No. 2019 (2019), pp.1-11.
https://search.emarefa.net/detail/BIM-1207288
American Medical Association (AMA)
Petruzzelli, Maria Giuseppina& Margari, Mariella& Furente, Flora& Costanza, Maria Carmela& Legrottaglie, Anna Rosi& Dicuonzo, Franca…[et al.]. Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review. Pain Research and Management. 2019. Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1207288
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1207288