Triptans and third nerve paresis: a case series of three patients.

Eye (Lond)

Department of Ophthalmology, West Suffolk Hospital, Bury St Edmunds, UK.

Published: March 2017

PurposeThe aim of this report is to increase awareness of a possible association between cranial nerve paresis and the use of sumatriptan in migraine sufferers, particularly in patients who have additional vascular risk factors.Patients and methodsWe describe a series of three cases where third nerve paresis developed in patients who were treated with the oral form of sumatriptan. All of the patients had a clear history of repetitive migraine headache and none of them had previous third nerve paresis.ConclusionAmong a variety of medications for the treatment of migraine, there are some drugs with vasoconstrictive effects, particularly triptans. These drugs may be a contributing factor for microvascular damage of the cranial nerves and other organs.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5350377PMC
http://dx.doi.org/10.1038/eye.2016.256DOI Listing

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