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Ophthalmoplegic migraine with reversible enhancement of intraparenchymal abducens nerve on MRI.

Te Gyu Lee, Woo-Suk Choi, Kyung-Cheon Chung
Headache 2002 Februrary
We describe a patient with ophthalmoplegic migraine and right abducens nerve palsy, in whom serial magnetic resonance imaging showed a transient, gadolinium-enhancing lesion in the right lower pons, during both headache and the headache-free period. The enhancing linear lesion was felt to represent intraparenchymal fibers of the affected abducens nerve. The possible pathophysiology of this unique finding is discussed.

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