A possible explanation of the mechanism of ophthalmoplegic migraine

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Abstract
The problem of ophthalmoplegic migraine is examined and criteria for diagnosis are suggested. Three cases are added to those which fulfill the criteria. Arteriography occasionally shows a narrowing of the internal carotid artery in the cavernous sinus. We conclude that this narrowing is the result of edema of the arterial wall. The mechanism of the ophthalmoplegia is probably the pressure on, and/or ischemia of, the third, fourth, and sixth nerves in their cavernous portions.

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