Headache World

An ophthalmoplegic migraine is a variant of the regular migraine and is seen in much rarer instances than most other forms. As may be deduced from the name, the headache is felt around the eye area, and the condition is typically linked to the weakness of the muscles surrounding the eye.
As with the vast majority of migraine cases an ophthalmoplegic migraine causes a severe headache and may also affect the sufferers’ vision.

Although no one is certain as to the exact cause of migraines in general it is thought that a change in the blood flow in the vessels in the head are a contributory factor. Such a change of blood flow in the different areas of the brain can result in different symptoms, and one possible cause of an ophthalmoplegic migraine may be the inflammation of the blood vessels surrounding the eye. Allergic reactions may also be implicated, although there is no exact certainty regarding this either.

In terms of symptoms the sufferer of an ophthalmoplegic migraine will experience specific discomfort around the eye area. Exact symptoms will likely vary from person to person but will typically involve double vision, droopy eyelids (also called ptosis), paralysis of the eyes, severe headache and various types of vision disruption and changes.

It is thought that one of the causes of migraines is when brain cells become overly sensitive to stimulation. In the case of an ophthalmoplegic migraine this may start with an inflammation of the blood cells surrounding the eye or possibly an allergic reaction as previously suggested. Other potential trigger factors include (but are not necessarily limited to) the consumption of alcohol, caffeine, and foods containing tyramine such as cheese and chocolate as well as red wine. Changes in hormone levels may also be a precursor to an attack, as well as irregular sleeping patterns, fatigue and weather changes – particularly with regards to air pressure.

In terms of avoiding – or attempting to ward off – an attack, the sufferer should keep notes of onset history and try to isolate definite precursors to an attack. Those that are sensitive to tyramine, for instance, should avoid consuming red wine, etc.

Diagnosis of ophthalmoplegic migraines generally starts with a detailed medical history and a physical examination. The doctor will likely rule out other possible eye disorders before her or she can make the specific diagnosis. It is extremely rare that a patient will be left with permanent vision problems as a result of an ophthalmoplegic migraine, however it is still best to rule out any potential risks to a sufferer prior to the issue arising.

Patients that have already been diagnosed as suffering from ophthalmoplegic migraines will usually need to continue to have ongoing eye tests to monitor the condition and ensure that no other form of eye disease is present. If the sufferer should experience any new symptoms or should the existing symptoms worsen this should be immediately reported to a doctor for further tests in order to ensure that no other disease or ailment is affecting you or causing the migraines to manifest in the first place.

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