<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272022000200093</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m22000215</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Migraña oftalmopléjica con oftalmoplejia interna bilateral. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Ophthalmoplegic migraine with bilateral internal ophthalmoplegia. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sorsby-Vargas]]></surname>
<given-names><![CDATA[Andrew M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Maldonado]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano-Martínez]]></surname>
<given-names><![CDATA[Claudia L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Anáhuac Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Oftalmología FAP Conde de Valenciana IAP Servicio de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>96</volume>
<numero>2</numero>
<fpage>93</fpage>
<lpage>97</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272022000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272022000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272022000200093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Reportar un caso de migraña oftalmopléjica interna en una paciente que presenta midriasis bilateral persistente y visión borrosa.  Caso clínico: Mujer de 18 años con fotofobia, fonofobia e intensa cefalea pulsante en toda la cabeza. Sus pupilas no reaccionan a la luz y presentan pérdida de acomodación. Después de visualizar el fondo de ojo, se reportó edema papilar del ojo derecho. Fue referida a neurología para evaluarla adicionalmente.  Resultados: La resonancia magnética cerebral, la angiorresonancia arterial y los estudios de laboratorio se reportan normales. Se diagnosticó migraña oftalmopléjica interna por exclusión de todos los diagnósticos diferenciales.  Conclusiones: La migraña oftalmopléjica se considera una cefalea rara caracterizada por parálisis del tercero, cuarto o sexto nervio craneal. Los episodios de migraña asociados con midriasis, conocidos como migraña oftalmopléjica interna, son notablemente raros y el diagnóstico es de exclusión. La migraña se resolvió con dexametasona y parecoxib, pero la midriasis no se resolvió.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Purpose: To report a case of internal ophthalmoplegic migraine in a patient with persistent bilateral mydriasis and blurred vision.  Case report: An 18-year-old female refers photophobia, phonophobia and an intense pulsating headache over the entire head. Her pupils did not react to light and showed loss of accommodation. Fundus evaluation showed papilledema in the right eye. She was referred to a neurologist for further evaluation.  Results: Brain magnetic resonance imaging, magnetic resonance angiography and laboratory tests were reported as normal. An internal ophthalmoplegic migraine was diagnosed after excluding all possible differential diagnoses.  Conclusions: Ophthalmoplegic migraine is considered a rare headache characterized by third, fourth or sixth cranial nerve palsy. Migraine episodes associated with mydriasis or known as internal ophthalmoplegic migraine are notably rare, and the diagnosis is one of exclusion. Dexamethasone and parecoxib resolved the migraine, but not the mydriasis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Migraña oftalmopléjica]]></kwd>
<kwd lng="es"><![CDATA[Oftalmoplejía interna]]></kwd>
<kwd lng="es"><![CDATA[Oftalmoplejía]]></kwd>
<kwd lng="es"><![CDATA[Midriasis bilateral]]></kwd>
<kwd lng="es"><![CDATA[Migraña]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico de exclusión]]></kwd>
<kwd lng="en"><![CDATA[Ophthalmoplegic migraine]]></kwd>
<kwd lng="en"><![CDATA[Internal ophthalmoplegia]]></kwd>
<kwd lng="en"><![CDATA[Ophthalmoplegia]]></kwd>
<kwd lng="en"><![CDATA[Bilateral mydriasis]]></kwd>
<kwd lng="en"><![CDATA[Migraine]]></kwd>
<kwd lng="en"><![CDATA[Exclusion diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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