RESUMEN
La parálisis aislada unilateral del nervio motor ocular común es poco frecuente en edad pediátrica y usualmente aparece como un fenomeno congénito o secundario a trauma, tumor o intección. Una forma poco conocida, especialmente en niños, ocurre como complicación de las cefaleas vasculares llamadas Migraña Oftalmoplejica. Describimos 3 casos. Se enfatizan las características clínicas, el diagnóstico diferencial y su evolución
Asunto(s)
Lactante , Preescolar , Humanos , Masculino , Femenino , Cefalalgias Vasculares/complicaciones , Nervio Oculomotor , Oftalmoplejía/complicacionesRESUMEN
Epileptic paroxystic headache consists of an episode of pain that starts suddenly, in a varying area that is usually the same for the same patient, of medium to high intensity, lasting from a few seconds to minutes and, rarely, hours; the episode subsides spontaneously and tends to recur. This was found in 32 of 125 patients studied by the author. Average age of onset was 11 years, with 80% of cases presenting it in the first or second decade of life. Once diagnosed, the condition was present a maximum of 41 years and a minimum of one month, with an average of six years. Headache lasted from 30 seconds to 4 hours; in 62% of cases it was 15 minutes or less. Pain was severe in 24 patients and moderate in 8. Epileptic paroxystic headache can be the only epileptic symptom (31%) or be associated with other ictal manifestations, independently (56.2%) or simultaneously (12.5%). EEG studies showed focalization in temporal lobe (56%), in the midbrain (12.5%) or in other areas. Treatment with hydantoine, primidone and methylsuccimide gave excellent results. Differential diagnosis with other paroxystic headaches is noted.