Ophthalmoplegic Migraine with 6th cranial nerve paresis

Abstract

Migraine with ophthalmoplegia with 3rd cranial palsy is rare and 6th or 4th cranial palsy is very rare. Here presenting a young lady with left sided headache for 3 days with vomiting, throbbing in nature. She complained of double vision 2 days after the onset of headache. On examination , abduction was restricted in LE. All cranial nerves were normal expect abducens nerve Left side. Laboratory test and Neuroimaging were normal. This case fulfilled the ICHD II (International classification of headache disorders) criteria for ophthalmoplegic migraine and it recovered spontaneously within one week.