ムラガキ　ヨシヒロ   MURAGAKI Yoshihiro   村垣　善浩    所属   医学部 医学科（東京女子医科大学病院）    職種   客員教授
論文種別	その他
言語種別	英語
査読の有無	査読なし
表題	Optic nerve arteriovenous malformation causing optic apoplexy: case report
掲載誌名	正式名：Neurosurgery ISSNコード：0148396X
掲載区分	国外
巻・号・頁	51(4),pp.1075-1078
著者・共著者	MURAGAKI Yoshihiro†, UJIIE Hiroshi, OHNO M, KUBO Osami, HORI Tomokatsu
担当区分	筆頭著者
発行年月	2002/10
概要	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.|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.|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.|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.
DOI	10.1097/00006123-200210000-00041
文献番号	12234420