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MURAGAKI Yoshihiro
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Visiting Professor |
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| Article types | Other |
| Language | English |
| Peer review | Non peer reviewed |
| Title | Optic nerve arteriovenous malformation causing optic apoplexy: case report |
| Journal | Formal name：Neurosurgery ISSN code：0148396X |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 51(4),pp.1075-1078 |
| Author and coauthor | MURAGAKI Yoshihiro†, UJIIE Hiroshi, OHNO M, KUBO Osami, HORI Tomokatsu |
| Authorship | Lead author |
| Publication date | 2002/10 |
| Summary | 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 |
| Document No. | 12234420 |