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Cerebral arteriovenous malformation presenting as visual deterioration in a child
Author(s) -
Kaye Lesley C,
Kaye Stephen B,
Lagnado Ruby,
Boothroyd Anne,
Morton Clare,
May Paul
Publication year - 2000
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2000.tb00684.x
Subject(s) - medicine , arteriovenous malformation , atrophy , magnetic resonance imaging , radiology , ophthalmology , anatomy , surgery , pathology
A rare case of visual loss as the presenting feature of a central arteriovenous malformation involving the vein of Galen is reported. A 5‐year‐old girl with a history of deteriorating vision for the past 6 months was examined. Ocular examination showed a left hemianopia, left optic atrophy, and dilated vessels of the right optic disc. MRI revealed a massive deep‐seated central arteriovenous malformation involving the vein of Galen. The mechanism of visual loss is likely to be a combination of ischaemic optic atrophy associated with a steal phenomenon and direct compression of the right optic radiation.