Open AccessJunctional Visual Field Loss in a Case of Wyburn-Mason Syndrome
Author(s) -
Anthony Liu,
Yiwen Chen,
Steven D. Chang,
Yaping Joyce Liao
Publication year - 2012
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0b013e31821aeefb
Subject(s) - blind spot , medicine , visual field , fluorescein angiography , ophthalmology , optic chiasm , retinal , central scotoma , atrophy , anatomy , optic nerve , psychology , neuroscience , pathology
A previously healthy girl failed a routine eye screening at the age of 6 years. Her visual fields showed generalized depression in the right eye and a superotemporal defect in the left eye, consistent with a junctional scotoma. Funduscopic examination and fluorescein angiography revealed markedly dilated tortuous vascular loops with arteriovenous communications consistent with retinal arteriovenous malformations (AVMs). MRI of the brain and cerebral angiography demonstrated right ophthalmic and right thalamic AVMs, with compression and atrophy of the right optic chiasm. This represents a case of Wyburn-Mason syndrome with a junctional scotoma.