Optic nerve arteriovenous malformation causing optic apoplexy: case report.

Abstract:

OBJECTIVE AND IMPORTANCE:Vascular malformations in the optic pathway are rare. Only one case of pathologically confirmed arteriovenous malformation (AVM) of the optic nerve has been reported previously. We document the case of a patient with an optic nerve AVM who presented with optic apoplexy that was diagnosed with the use of magnetic resonance imaging. CLINICAL PRESENTATION:A 15-year-old girl developed left visual disturbance of sudden onset while playing badminton. A magnetic resonance imaging scan disclosed left optic nerve swelling and intraoptical hemorrhage, although an angiogram did not reveal abnormal vessels. INTERVENTION:The patient underwent total removal of the hematoma and tangles of the abnormal vessels in the left optic nerve, which was diagnosed pathologically as an AVM. The patient recovered visual acuity, but the left visual field defect remained unchanged. CONCLUSION:Along with cavernous malformations and optic gliomas, AVMs can be a rare cause of optic nerve apoplexy. T2-weighted magnetic resonance imaging is useful in rendering the diagnosis of an optic nerve AVM, observed as a mass lesion consisting of serpiginous, tangled, low-intensity bands. Early surgical treatment is recommended to obtain a rapid recovery.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Muragaki Y,Ujiie H,Ohno M,Kubo O,Hori T

doi

10.1097/00006123-200210000-00041

keywords:

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

1075-8; discussion 1078

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

51

pub_type

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