Abstract
Ogose et al1 raise a number of questions regarding a case of ophthalmoplegic migraine reported by us. We agree with Ogose et al that the etiological differential diagnosis of painful ophthalmoplegia is extensive and consists of numerous etiologies including vascular (eg, aneurysm, carotid dissection, carotid-cavernous fistula), neoplasms (eg, primary intracranial tumors or metastatic disease), inflammatory conditions (eg, orbital pseudotumor, sarcoidosis, Tolosa-Hunt syndrome), infectious etiologies (eg, viral, fungal, mycobacterial), and other conditions (eg, microvascular infarcts secondary to diabetes, ophthalmoplegic migraine, giant cell arteritis), most of which can be promptly recognized by a systematic clinical and laboratory approach.
Published Version
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